影响非器质性心脏病患者心电图ST段压低的因素分析  

Analysis of factors affecting electrocardiogram ST segment depression in patients with non-organic heart disease

作　　者：肖美娟 杨丽 付宇 曹祥熙 XIAO Meijuan;YANG Li;FU Yu;CAO Xiangxi(Cardiopathy Center,The Affiliated People's Hospital of Hubei University of Medicine,Shiyan 442000,China;Department of Radiographic Center,The Affiliated people's Hospital of Hubei University of Medicine,Shiyan 442000,China;Department of Childrens Medical Center,The Affiliated people's Hospital of Hubei University of Medicine,Shiyan 442000,China;Department of Ultrasonography,people's Hospital,Yunxi 442600,China)

机构地区：[1]十堰市人民医院/湖北医药学院附属人民医院心脏病中心,湖北十堰442000 [2]十堰市人民医院/湖北医药学院附属人民医院放射影像中心,湖北十堰442000 [3]十堰市人民医院/湖北医药学院附属人民医院儿童医疗中心,湖北十堰442000 [4]郧西县人民医院超声科,湖北郧西442600

出　　处：《现代医学》2020年第6期736-740,共5页Modern Medical Journal

摘　　要：目的:探讨影响非器质性心脏病患者心电图ST段压低的因素。方法:采用回顾性研究方法,选择2016年8月至2018年2月在我院诊治的非器质性心脏病患者89例作为研究对象,所有患者都给予心电图检查,记录ST段压低与心律失常情况,调查影响ST段压低的相关因素。结果:在89例患者中,心电图显示ST段压低29例,发生率为32.6%。ST段压低组的房性早剥、心动过速、心房扑动、心房颤动的发生率显著高于ST-T段正常组(P<0.05)。ST段压低组的性别、年龄、收缩压、舒张压、LA、LV、LVPW、HDL-C、TG与ST-T段正常组比较差异无统计学意义(P>0.05),两组的心率、LDL-C、TC、LVEF、LVS等比较差异有统计学意义(P<0.05)。Spearman相关性分析显示,ST段压低与心率、LDL-C、TC、LVEF、LVS都呈显著相关(P<0.05)。Logistic回归分析显示,心率、TC、LVEF、LVS为影响非器质性心脏病患者心电图ST段压低的危险因素(P<0.05)。结论:非器质性心脏病患者心电图ST段压低比较常见,可增加患者心律失常发生几率,主要的影响因素包括心率、TC、LVEF、LVS等。Objective:To investigate the factors affecting electrocardiogram ST segment depression in patients with non-organic heart disease.Methods:A retrospective study wask,from August 2016 to February 2018,89 patients with non-organic heart disease who were treated in a certain hospital were selected as subjects.All patients were given electrocardiogram,ST segment depression and arrhythmia were recorded,and the factors affecting ST segment depression were investigated.Results:The electrocardiogram showed 29 patients of ST segment depression with an abnormal rate were 32.6%in the 89 patients.The incidences of atrial premature detachment,tachycardia,atrial flutter,and atrial fibrillation in patients with ST segment depression were significantly higher than those in STT normal patients(P<0.05).There were no significant differences in gender,age,systolic blood pressure,diastolic blood pressure,LA,LV,LVPW,HDL-C,TG compared between two groups(P>0.05).There were significantly difference of LDL-C,TC,LVEF and LVS between two groups(P<0.05).Spearman correlation analysis showed that ST segment depressions were significantly correlated with heart rate,LDL-C,TC,LVEF,and LVS(P<0.05).Logistic regression analysis showed that heart rate,TC,LVEF and LVS were risk factors for ECG ST segment depression in patients with non-organic heart disease(P<0.05).Conclusion:The electrocardiogram ST segment depression in patients with non-organic heart disease is more common,which can increase the incidence of arrhythmia in patients,the main affecting factors include heart rate,TC,LVEF,LVS et al.

关 键 词：非器质性心脏病 心电图 ST段压低 心律失常 影响因素 

分 类 号：R540.41[医药卫生—心血管疾病]