北京地区青少年心室预激及预激综合征患病率调查  

Prevalence Survey of Pre-excitation and Wolff-Parkinson-White Syndrome in Adolescents in Beijing Area

作　　者：刘欣[1] 周玉安 周广华[3] 李蕾[1] 刘雯[1] 张岚 赵杰强[3] 张红[1] 刘文玲[1] 

机构地区：[1]北京大学人民医院心内科,北京市100044 [2]北京市西城区中小学卫生保健所 [3]北京大学医院

出　　处：《中国循环杂志》2015年第12期1182-1185,共4页Chinese Circulation Journal

摘　　要：目的：调查分析北京地区青少年心室预激及预激综合征患病率。方法：对北京市西城区和海淀区19484名15-20岁青少年（北京市西城区中学高一年级和职业中学新生、北京大学新人学的本科生）进行心电图筛查、诊断及分型，并对心电图异常者进行随访。结果：一共获得19389份合格心电图，其中心室预激及预激综合征患者30例（0．15％），男性患者17例（0．17％），女性患者13例（0．13％），男、女性患病率之间的差异无统计学意义（χ^2=0．495，P〉0.05）；6例（0.03％胖有阵发性心悸，记录到室上性心动过速的预激综合征2例（0．01％）。30例心室预激及预激综合征患者中，A型心室预激16例（53．33％），B型心室预激14例（46．67％），男、女性患病类型无明显差异（χ^2=4．693，P〉0.05）。平均随访2．5年（1．5-3年）期间，未发生恶性心律失常事件。结论：本研究中北京地区15-20岁青少年心室预激和预激综合征患病率为0．15％，患病率和患病类型无明显性别差异。Objective：To study the prevalence of pre-excitation and Wolff-Parkinson-White （WPW） syndrome in adolescents in Beijing area. Methods： A total of 19 484 adolescents at the age of （15-20） years from Xicheng district of Beijing and the freshmen from Peking University were enrolled for our survey; 12-lead electrocardiography （ECG） screening was conducted and the diagnosis, classification of pre-excitation, WPW syndrome were recorded. The follow-up study was performed in relevant patients. Results： There were 19 389 qualified ECG obtained, among them, 30 （0.15%） patients with ventricular pre-excitation and WPW syndrome identified including 17 male （0.17%） and 13 （0.13%） female, the prevalence between male and female was similar （χ^2=0.495, P〉0.05）. There were 6/19389 （0.03%） patients with palpitation and 2 （0.01%） documented by super- ventricular tachycardia. There were 16/30 （53.33%） patients with type A and 14（46.7%） with type B ventricular pre-excitation, the prevalence between male and female was similar （χ^2=4.693, P〉0.05）. The patients were followed-up at the mean of 2.5 （1.5-3） years and no malignant arrhythmia events occurred. Conclusion： In this cohort survey, prevalence of pre-excitation and WPW syndrome is about 0.15% in adolescents from （15-20） years in Beijing area; the prevalence is similar between male and female subjects.

关 键 词：预激综合征 患病率 青少年 心电描记术 

分 类 号：R54[医药卫生—心血管疾病]