急性缺血性卒中致心电图改变研究  

Study of ECG changes caused by acute ischemic stroke

作　　者：梅勇 孙楠 王德国[1] 王安才[1] Mei Yong;Sun Nan;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82-85,共4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：目的探讨急性缺血性卒中病变位置与心电图改变间的关系。方法对151例经磁共振或CT确诊为急性缺血性卒中患者的心电图进行系统性回顾。比较不同部位急性缺血性卒中心电图异常率及房性心律失常发生率,并对112例异常心电图改变情况进行统计,对异常心电图中窦性心动过缓在脑干和其他部位卒中的发生率进行比较。结果多部位卒中更易发生心电图异常改变,脑叶卒中发生率最低;但在对急性缺血性卒中患者房性心律失常进行统计时发现,多部位卒中及脑叶卒中均较易合并房性心律失常;脑干缺血性卒中患者较易出现窦缓,与其他类型卒中比较,差异有统计学意义(P<0.05)。结论急性缺血性卒中患者较易出现心电图异常,应加强监测,并应注意心脏保护。Objective To study the relationship between the lesion site of acute ischemic stroke(AIS)and ECG changes.Methods Systematic review was carried out on 151 patients with AIS diagnosed by MRI or CT.The abnormality rate of ECG and the incidence of atrial arrhythmia were compared among the patients with AIS at different sites.In addition,112 cases of abnormal ECG changes were analyzed statistically,and furthermore,in these abnormal ECGs,the incidence of sinus bradycardia in stroke at the brainstem and other sites was compared.Results Multiple-site stroke was more likely to lead to abnormal ECG changes while the incidence of abnormal ECG changes of stroke at the lobe of brain was the lowest.However,statistical analysis of atrial arrhythmia in AIS patients indicated that multiple-site stroke and stroke at the lobe of brain were both prone to be complicated by atrial arrhythmia.Sinus bradycardia was more commonly seen in the patients with AIS at the brainstem and its incidence significantly varied from that of other types of stroke(P<0.05).Conclusion ECG abnormalities are more likely to be found in AIS patients whom should be given strengthened monitoring on and suggested measures for heart protection.

关 键 词：急性缺血性卒中 心电图 房性心律失常 

分 类 号：R540.41[医药卫生—心血管疾病]