急性出血性卒中致心电图改变研究  

Study on ECG changes caused by acute hemorrhagic stroke

作　　者：孙楠 梅勇 王德国[1] 王安才[1] Sun Nan;Mei Yong;Wang De-guo;Wang An-cai(Department of Gerontology,Yijishan Hospital of Wannan Medical College,Wuhu Anhui 241001,China)

机构地区：[1]皖南医学院弋矶山医院老年医学科,安徽芜湖241001

出　　处：《实用心电学杂志》2018年第2期77-81,共5页Journal of Practical Electrocardiology

基　　金：国家自然科学基金面上项目(81670301);安徽省高校优秀青年人才支持计划重点项目(gxyqZD2016181);弋矶山医院人才引进科研基金(YR201506)

摘　　要：目的探讨急性出血性卒中发生位置与心电图改变间的关系。方法对156例经CT确诊为急性出血性卒中患者心电图进行系统性回顾,其中自发出血性卒中134例,创伤性蛛网膜下腔出血22例。比较不同部位急性出血性卒中心电图异常率及QTc间期延长发生率,并对104例患者的自发出血性卒中异常心电图改变情况进行了统计,对自发性蛛网膜下腔出血与创伤性蛛网膜下腔出血心电图异常率及异常心电图中QTc间期延长发生率进行了比较。结果脑干及自发性蛛网膜下腔出血较易致心电图异常,脑叶出血心电图异常率最低;自发性蛛网膜下腔出血易致QTc间期延长,与脑叶比较差异有统计学意义;自发性蛛网膜下腔出血较创伤性蛛网膜下腔出血较易合并心电图异常。结论急性出血性卒中患者易合并脑心综合征,应加强心电图监测及看护。Objective To explore the relationship between the site of acute hemorrhagic stroke and ECG changes.Methods The ECG data of 156 patients diagnosed with acute hemorrhagic stroke by CT were made a systematic review.Among them were 134 cases with spontaneous hemorrhagic stroke and 22 with traumatic subarachnoid hemorrhage.The incidences of ECG abnormalities and QTc interval prolongation were compared among acute hemorrhagic stroke locating at different sites.The abnormal ECG changes of 104 patients with spontaneous hemorrhagic stroke were statistically analyzed.The incidences of ECG abnormalities and QTc interval prolongation in abnormal ECGs were made comparison between the patients separately with spontaneous and traumatic subarachnoid hemorrhage.Results Brainstem hemorrhage and spontaneous subarachnoid hemorrhage could easily result in ECG abnormalities while the lowest abnormal rate of ECG was found in patients with lobar hemorrhage.Spontaneous subarachnoid hemorrhage was prone to lead to QTc interval prolongation,which significantly varied from lobar hemorrhage.Spontaneous subarachnoid hemorrhage was more likely to be complicated by ECG abnormalities than traumatic subarachnoid hemorrhage.Conclusion Patients with acute hemorrhagic stroke tend to suffer from cerebrocardiac syndrome on whom ECG monitoring and nursing are required to be strengthened.

关 键 词：急性出血性卒中 心电图 QTC间期 

分 类 号：R540.41[医药卫生—心血管疾病]