8621例新兵复检心电图结果分析  

Electrocardiogram Analysis of 8621 New Cruits in Rechecking

作　　者：杨丽娟[1] 徐维明[1] 李英杰[1] 

机构地区：[1]武警河南总队医院体检中心,郑州450000

出　　处：《心电图杂志（电子版）》2014年第4期207-208,共2页Journal of Electrocardiogram（Electronic Edition）

摘　　要：目的分析新兵常规12导联心电图的特征及常见图形表现,为新兵能否进一步参加高强度训练提供参考。方法对8621例新兵作常规12导联心电图检查,根据心电图检查结果分类。结果正常心电图7038例(82%),窦性心动过缓957例,窦性心律不齐264例,窦性心动过速30例,左心室高电压142例,T波波幅增高57例,一度房室阻滞17例,(不)完全性右束支阻滞28例,室性期前收缩23例,室上性期前收缩27例,ST-T改变11例,游走心律10例,早期复极波15例。11例ST-T改变中9例经心得安试验ST-T恢复正常,957例窦性心动过缓中,948运动后心率>90次/min,30例窦性心动过缓中,27例经休息心理疏导后心率<100次/min,28例不完全性或完全性右束支阻滞经心脏彩超检查排除先天性心脏病,57例T波波幅高大与神经功能失调相关,142例左心室高电压经心脏彩超检查排除心室肥大。结论新兵入伍前经过严格筛选,故常规12导联心电图检查多表现正常及正常范围心电图,部分新兵因训练强度大,心理适应能力、生活方式改变等会造成心电图图形的改变,在判断其异常心电图及临床意义时应审慎,以免造成新兵心理的压力,也为部队以后的训练做好风险评估。objective To provide references whether the new cruits could take high strength training after analyzing the characters and usual form of their general electrocardiograms.Methods 8621 new cruits had general 12-leads electrocardiograms detected ,then the electrocardiograms were classified.Results The electrocardiograms manifested as follow ：normal in 7038 cases （82 percent）, sinus bradycardia in 957 cases, sinus arrhythmia in 264 cases , sinus tachycardia in 30 cases ,left ventricular high voltage in 142 cases, the amplitude of T wave increased in 57 cases, Ⅰ°atrioventricular block in 17 cases, incompleted/completed right bundle branch block in 28 cases,ventricular premature contraction in 23 cases,supraventricular premature beat in 27 cases,ST-T changed in 11 cases, wandering rhythm in 10 cases,early repolarization wave in 15 cases. ST-T changing returned to normal in nine cases after propanolol test,the heart rate of 948 cases with sinus bradycardia increased to more than 90 beats per minute after exercise, the heart rate of 27 cases with sinus tachycardia decreased to less then 100 beats per minute after rest or psychological counseling,congenital heart diseases were ruled out in 28 cases with incompleted/completed right bundle branch block through echocardiogram inspection, the huge T wave in 57 cases were related to dysfunction of nervous system, ventricular hypertrophy were denied in 142 cases with left ventricular high voltage.Conclusion The general 12-leads electrocardiograms of new cruits were normal or in normal range,for they were screened rigorously before joining the army.The echocardiogram of some new cruits may changed because of high strength training,the changing of the ability of mental adaption and life style.You must be careful while judging abnormal echocardiogram and clinical value in order to avoid causing mental pressure to the new cruits.At the same time, risk assessment on the training of army later achieved.

关 键 词：12导联心电图 心律失常 新兵 

分 类 号：R82[医药卫生—临床医学]