急性脑卒中心电图变化分析  

Analysis on Electrocardiogram Changes of Patients with Acute Stroke

作　　者：陈岚[1] 

机构地区：[1]皖南医学院弋矶山医院心电图室,安徽芜湖241001

出　　处：《临床医学工程》2017年第3期323-324,共2页Clinical Medicine & Engineering

摘　　要：目的研究急性脑卒中患者的心电图的变化与特点。方法选取我院2014年6月至2016年6月收治的312例急性脑卒中患者,采用常规心电图、心电监护、24 h动态心电图监测等手段,回顾性分析患者异常心电图的变化与特点。结果患者入院时心电图异常改变主要有V1导联P波终末电势(Pt FV1)异常、房颤/房扑、ST-T改变、QT延长、显著U波等,入院治疗7天后异常心电图发生率明显降低(P<0.05);缺血性脑卒中患者最常出现的心电图改变是Pt FV1异常和房颤/房扑,其发生率均高于出血性脑卒中(P<0.05);出血性脑卒中患者最常出现的心电图改变是ST-T改变和QT延长。结论掌握急性脑卒中患者的心电图改变对临床病情观察和疗效评估有重要意义。Objective To study the changes and characteristics of electrocardiogram （ECG） in patients with acute stroke. Methods A total of 312 cases of patients with acute stroke admitted to our hospital from June 2014 to June 2016 were selected. The changes and characteristics of abnormal ECG were retrospectively analyzed by routine ECG, ECG monitoring and 24 h dynamic electrocardiogram monitoring. Results Abnormal ECG changes in patients on admission were mainly abnormal PtFV1, atrial fibrillation/flutter, ST-T change, QT prolongation, significant U wave. The incidence of abnormal ECG significantly decreased after 7-day treatment （P 〈0.05）. The most common ECG changes in patients with chemic stroke were abnormal PtFV~ and atrial fibrillation/flutter, whose incidences were higher than those in patients with hemorrhagic stroke （P〈0.05）. The most common ECG changes in patients with hemorrhagic stroke were ST-T changes and QT prolongation. Conclusions The changes of ECG in acute stroke have important significance in clinical observation of clinical condition and evaluation of curative effect.

关 键 词：急性脑卒中 心电图 PTFV1 心律失常 

分 类 号：R743.3[医药卫生—神经病学与精神病学]