肝硬化患者心电图改变与Child-Pugh分级及预后的相关性研究  

Correlation study between ECG abnormalities and Child-Pugh grade and prognosis of patients with liver cirrhosis

作　　者：杨丽[1] 史松[1] 王艳红[1] 

机构地区：[1]新疆医科大学第五附属医院功能检查科,新疆乌鲁木齐830011

出　　处：《中国地方病防治》2016年第5期500-501,共2页Chinese Journal of Control of Endemic Diseases

基　　金：新疆维吾尔自治区自然科学基金项目(编号:2012211A084)

摘　　要：目的探讨肝炎后肝硬化患者心电图改变与Child-Pugh分级及预后的相关性。方法选择本院诊治的146例肝炎后肝硬化患者,按照Child-Pugh评分对其进行分级;同时采集患者体表心电图,并测量计算QTc,记录各种心电图异常表现。结果患者心电图异常改变率62.33%,显著高于慢性肝炎组,且随Child-Pugh分级增加而升高(P<0.05);异常心电图以Q-T间期延长为主(占56.85%),QTc值与Child-Pugh分级存在相关性(P<0.05);心电图异常组和正常组患者病死率差异有统计学意义(P<0.05)。结论肝炎后肝硬化患者心电图改变与Child-Pugh分级及预后密切相关。Objective To explore the correlation between ECG abnormalities and Child- Pugh grade and prognosis of patients with liver cirrhosis.Methods A total of 146 patients with liver cirrhosis suffered from chronic hepatitis were selected.According to Child-Pugh scores,the patients were ranked.Each case underwent ECG,QTc were measured and all ECG abnormalities were recorded.Results The ECG abnormality rate of patients with liver cirrhosis was 62.33% higher than that of chronic hepatitis group and it had an increase tendency with Child-Pugh grade（ P〈0.05）;the prolonged QTc accounted for 56.85% among ECG abnormalities and QTc was correlated with Child-Pugh grade.The mortality of patients with ECG abnormalities was significantly different from that of normal ECG group.Conclusion An ECG abnormality was closely related to Child-Pugh grade prognosis of patients with liver cirrhosis.

关 键 词：肝硬化 心电图 CHILD-PUGH分级 

分 类 号：R575.2[医药卫生—消化系统]