住院精神病人猝死与心电图及心肌酶谱的关系探讨  

THE EXPLORATION ON RELATIONSHIPS AMONG SUDDEN DEATH,ELECTROCARDIOGRAM AND MYOCARDIAL ENZYME SPECTRUM IN 23 INPATIENTS WITH PSYCHOSIS

作　　者：方怀志[1] 张承洁[1] 尹俊雄[1] 

机构地区：[1]南京医科大学脑科医院,210029

出　　处：《现代电生理学杂志》2009年第4期200-203,共4页Journal of Modern Electrophysiology

摘　　要：目的:通过对住院期间猝死的精神病患者的心电图、心肌酶谱的分析,探讨导致猝死的相关因素。方法:回顾性调查住院期间猝死病人相关资料(研究组),并按年龄、性别配对随机抽取在院精神病人的相关资料(对照组),进行统计学处理。结果:研究组与对照组的CPK、LDH、AST比较差异具有显著性(P<0.05),心电图缺血性改变的差异比较具有显著性(P<0.05)。结论:住院精神病患者心电图异常及心肌酶谱异常是猝死的高危因素,应引起高度重视。Objective： To explore the relationships among sudden death, electrocardiogram and myocardial enzyme spectrum in patients with psychosis, and investigate the associated factors of sudden death. Method：The data of 23 sudden death inpatients with psychosis （study group）were analyzed retro- spectively, at the same time, according to the sex and age, the matched data of 30 other inpatients with psychosis （control group）were selected randomly and analyzed. Results： There were significant differeees in some myocardial enzymes （ CPK, LDH, AST） between two groups（p 〈 0. 05）. In electrocardiogram, there was also significant diffcrence in ischemie change between two groups （p 〈 0.05）. Conclusion：It is suggested that the abnormalities of electrocardiogram and myocardial enzyme spectrum might be the risk factors of sudden death , so more attention should be paid.

关 键 词：猝死 心电图 心肌酶 

分 类 号：R749[医药卫生—神经病学与精神病学]