甲状腺功能亢进患者的心电图改变分析  

Electrocardlognun dmnges in patients with hyperthyroidism

作　　者：张云[1] 许端敏[1] 张汉灵[1] 

机构地区：[1]汕头大学医学院第一附属医院心内科,515041

出　　处：《中国医药》2011年第5期534-535,共2页China Medicine

摘　　要：目的分析甲状腺功能亢进（甲亢）患者心电图改变。方法选取155例甲亢患者为甲亢组，对该组患者进行通常规心电图、24h动态心电图检查，结果与155名健康体检者（对照组）同样项目检查进行比较分析。结果甲亢患者心电图改变呈多样性形式，心律失常多见，占67．7％（105／155），以房性早搏、心房颤动、窦性心动过速、ST-T改变为主，与对照组比较差异有统计学意义（21．3％比2．5％；16．8％比1．3％321．3％比5．2％320．0％比3．2％3P〈0．05）。结论甲亢患者心电图改变以心律失常、ST-T改变为主。Objective To investigate the electrocardiogram changes in patients with hyperthyroidism. Methods Recordings of routine electrocardiogram and 24-hour Holter ECG were obtained from 155 patients with hyperthyroidism and 155 healthy volunteers, and analyzed. Results Patients with hyperthyroidism had various changes noted in their ECGs, and 105 patients （67.7%） had arhythmia, most were atrial premature beats, atrial fi- brillation, sinus tachyeardia and ST-T deviation. The changes were significantly different from that of healthy controis（21.3% vs2.5%;16.8% vsl.3%;21.3% vs5.2%;20.0% vs3.2%; P〈0.05）. Conclusion The most common ECG changes noted in patients with hyperthyroidism are arhythmia and ST-T alteration.

关 键 词：甲状腺功能亢进症 心电描记术 改变 

分 类 号：R581.1[医药卫生—内分泌]