388例鼾症患者心电图分析  

Clinical electrocardiogram analysis in 388 sleep apnea hypoventilation syndrome patients

作　　者：乔洁[1] 张姝兰[1] 毕莎莎[1] 吕东月[1] 闵哲[1] 曲桂一[1] 

机构地区：[1]大连市中心医院心电图科,辽宁大连116033

出　　处：《江苏实用心电学杂志》2012年第4期246-247,共2页Journal of Practical Electrocardiology JS

摘　　要：目的通过鼾症患者与无鼾症者的心电图分析,探讨异常心电图与鼾症之间的关系。方法对鼾症组和对照组各388例进行心电图检查对比,分析两组之间的心电图变化。结果鼾症组中房性期前收缩、房颤、束支阻滞、房室阻滞的发生率高于对照组,两组间差异有统计学意义(P<0.05);室性期前收缩、ST-T改变的发生率鼾症组显著高于对照组,两组间差异有统计学意义(P<0.01)。结论鼾症可引起多种异常心电图改变,其发生机制与打鼾时呼吸暂停引起的低氧血症有关。Objective To investigate the relationship between abnormal electrocardiogram （ECG） and sleep apnea hypoventilation syndrome（SAHS） by analyzing the ECG results between SAHS and non-SAHS patients. Methods All patients were divided into two groups： 388 patients with SAHS and 388 patients without SAHS. The ECG changes of two groups patients were compared and analyzed. Results There were significant differences in incidence of atrial premature, atrial fibrillation, bundle branch block, atrioventricular block between two groups （ P 〈 0.05 ） ; There were significant differences in incidence of ventricular premature, ST-T changes （ P 〈 0.01 ）. Conclusion Variety of abnormal ECG changes can be caused by SAHS, mechanisms associated with hypoxemia by apnea.

关 键 词：鼾症 心电图 冠心病 心律失常 

分 类 号：R540.41[医药卫生—心血管疾病]