梅州地区体检人群心电图ST-T改变及T波改变的相关因素调查及分析  

Investigation and Analysis of Related Factors of ST-T Changes and T wave Changes in Electrocardiogram of Physical Examination Population in Meizhou Area

作　　者：刘奇英[1] LIU Qiying(Meizhou People’s Hospital,Meizhou 514031,China)

机构地区：[1]广东省梅州市人民医院,广东梅州514031

出　　处：《中国医学创新》2020年第4期89-92,共4页Medical Innovation of China

基　　金：2019年梅州市医药卫生科研立项项目(2019-B-39)。

摘　　要：目的:探索梅州地区体检人群心电图ST-T改变及T波改变的相关因素。方法:选取2018年5-12月在梅州市人民医院体检中心进行体检的健康人群7750例,并在静息状态下行常规12导联心电图检查,将心电图表现ST-T改变及T波改变的入选对象标记为观察组,未发生ST-T改变及T波改变的入选对象标记为对照组。比较两组入选对象的年龄、性别、甘油三酯、胆固醇、低密度脂蛋白、血压、血糖、尿酸,并进行ST-T改变及T波改变的相关因素Logistic回归分析。结果:7750例体检人群中,1168例出现ST-T改变和T波改变,占比15.1%。观察组在年龄≥40岁、甘油三酯偏高、胆固醇偏高、低密度脂蛋白偏高、高血压、高血糖人群中ST-T改变及T波改变的发生率明显高于对照组,比较差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示年龄≥40岁、总胆固醇偏高、甘油三酯偏高、低密度脂蛋白偏高、高血压、高血糖是引发ST-T改变和T波改变的独立危险因素(OR>1,P<0.05)。结论:年龄偏大、总胆固醇偏高、甘油三酯偏高、低密度脂蛋白偏高、高血压、高血糖人群更易发生心电图ST-T改变及T波改变,在临床上对该类型患者应当积极控制危险因素,降低心血管疾病的发生。Objective:To explore the related factors of ST-T changes and T wave changes in electrocardiogram of physical examination population in Meizhou area.Method:7750 healthy people who underwent physical examination from May to December 2018 in the physical examination center of our hospital were selected,and the routine 12-lead electrocardiogram was performed at rest.The subjects with ST-T and T-wave changes in ECG were marked as observation group,while those without ST-T and T-wave changes were marked as control group.The age,sex,triglyceride,cholesterol,low density protein,blood pressure,plasma glucose and uric acid were compared between the two groups.Logistic regression analysis was performed on the related factors of ST-T and T wave changes.Result:Among the 7750 physical examination population,there were 168 cases with ST-T and T wave changes,accounting for 15.1%.The incidence of ST-T and T wave changes in age(over 40 years old),high triglyceride,high cholesterol,high LDP,hypertension and hyperglycemia in the observation group was significantly higher than those in the control group,there were significant differences between the two groups(P<0.05).Multivariate Logistic regression analysis showed that age(over 40 years old),high total cholesterol,high triglycerides,high LDL,hypertension and hyperglycemia were independent risk factors for ST-T and T wave changes(OR>1,P<0.05).Conclusion:Older age,high total cholesterol,high triglycerides,high LDL,hypertension and hyperglycemia are more likely to have ST-T changes and T wave changes in ECG.Clinically,patients with this type of disease should actively control risk factors and reduce the incidence of cardiovascular diseases.

关 键 词：心血管疾病 T波 ST段 心电图 

分 类 号：R540.41[医药卫生—心血管疾病] R194.3[医药卫生—内科学]