慢性心力衰竭与窦性心律震荡的相关性研究  

Related of chronic heart failure in sinus rhythm and shock

作　　者：王章波[1] 

机构地区：[1]江西省乐平市人民医院内一科,江西乐平333300

出　　处：《中国当代医药》2016年第27期43-45,共3页China Modern Medicine

摘　　要：目的探讨慢性心力衰竭与窦性心律震荡的相关性分析。方法选取2013年6月~2015年6月我院收治的获得明确诊断的老年慢性心力衰竭患者126例作为研究对象,将其按照心律震荡起始、震荡斜率值为依据,分为低危组和高危组,另取同期健康体检人群126例作为健康对照组。所有受试者展开生化检验、动态心电监测、超声心动图检查、6 min步行试验值检查及QRSD测量,并进行随访。对所有受试者的各项检测结果进行统计分析,寻找慢性心力衰竭与窦性心律震荡的相关性。结果经统计发现,慢性心衰患者与对照组HRT各项指标检测结果显示出,慢性心衰组震荡初始值、脑钠肽、左心室舒张末期内径、QRSD等指标检测水平较对照组显著升高（P〈0.05）,但同时震荡斜率值、正常窦性心律R-R间期的标准差、左心室射血分数、6 min步行试验值则较对照组低（P〈0.05）,除此外,慢性心力衰竭患者中,高危组与低危组HRT各项指标检测结果也存在明显差异（P〈0.05）;随访期间,高危组与低危组慢性心衰患者心血管事件发生情况比较,高危组发生率明显高于低危组（P〈0.05）;心源性休克、恶性心律失常发生率也表现出高危组高于低危组（P〈0.05）。结论经观察发现,窦性心律震荡与慢性心力衰竭之间,存在明显的相关性,可将窦性心律震荡作为慢性心力衰竭患者的一个重要临床检测指标,也可作为预后判断的一项重要指标,临床价值显著,值得关注。Objective To explore on the correlation between chronic heart failure in sinus rhythm and shock.Methods126 patients were obtained a clear diagnosis of chronic heart failure in elderly and selected from June 2013 to June2015 in our hospital as object in this study,which was based on the value in accordance with the initial shock rhythm,turbulence slope,patients into the low risk group and high risk group,same period 126 cases of healthy people were selected as a control group.All subjects were expanded biochemical tests,holter monitoring,echocardiography,6 min walk test value check,QRSD measurement,and follow-up.All subjects of the test results for statistical was analysised,looking for chronic heart failure and sinus rhythm correlated shocks.Results Statistics found that chronic heart failure patients and the control group indexes HRT test results were demonstrated that chronic heart failure the initial shock value of brain natriuretic peptide,left ventricular end-diastolic dimension,QRSD other indicators of the level of detection were higher than that of control group（P〈0.05）,but turbulence slope,standard normal sinus rhythm RR interval difference,left ventricular ejection fraction,6 min walk test value were lower than that of control group（P〈0.05）,in addition,a heart failure patients,the high-risk group and low risk group indexes HRT test results,there were significant differences（P〈0.05）;follow-up period,compared to the situation in high-risk group and low risk group of cardiovascular events in patients with chronic heart failure,showed that high-risk group the incidence of cardiovascular events was significantly higher than that of low risk group（P〈0.05）,in addition,a cardiogenic shock,the incidence of malignant arrhythmias in high-risk group were lower than that of risk group（P〈0.05）.Conclusion The observed between chronic heart failure in sinus rhythm and shock there is an obvious correlation can be used as shock sinus rhythm in patients with chronic heart failure is an importa

关 键 词：老年慢性心力衰竭 窦性心律震荡 相关性 心电图 

分 类 号：R541.61[医药卫生—心血管疾病]