甘肃省哈萨克族人群心电图特征及其异常改变的危险因素  

Electrocardiography characteristics and related risk factors in Kazak population in Gansu province

作　　者：刘红平[1] 刘学蓉 陈松涛[1] 唐海桃 方方 LIU Hong-Ping;LIU Xue-Rong;CHEN Song-Tao;TANG Hai-Tao;FANG Fang(Electrocardiography Room,Department of Ultrasound Medicine,Jiuquan People′s Hospital,Jiuquan 735000,Gansu Province,China;Function Examination Department,Aksai People′s Hospital,Aksai 736400,Gansu Province,China;Department of Cardiology,Jingbei Medical Branch,Chinese PLA General Hospital,Beijing 100085,China)

机构地区：[1]甘肃省酒泉市人民医院超声医学科心电图室,甘肃酒泉735000 [2]甘肃省阿克赛县人民医院功能科,甘肃阿克赛736400 [3]中国人民解放军总医院京北医疗区,北京100085

出　　处：《中华老年多器官疾病杂志》2022年第1期40-44,共5页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的探讨甘肃省哈萨克族人群心电图特征及其异常改变的危险因素。方法选择2020年1月至12月在阿克塞县医院进行健康体检、年龄>40岁的846名哈萨克族人(研究组)和846名汉族人(对照组)为研究对象。分析2组人群基线资料和常规12导联心电图ST段及T波改变特征,比较研究组人群心电图ST段偏移、延长及T波改变在各年龄段的患病率。采用SPSS 22.0统计软件进行数据分析。根据数据类型,分别采用t检验或χ^(2)检验进行组间比较。采用logistic多因素回归分析心电图ST段偏移、延长及T波改变的危险因素。结果2组患者体质量指数(BMI)、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、总胆红素(TBIL)、直接胆红素(DBIL)、尿酸(UA)、同型半胱氨酸(Hcy)、饮酒史及心电图ST段偏移、延长及T波改变患病率比较,差异均有统计学意义(均P<0.05)。哈萨克族人群年龄增加10岁则ST段及T波改变的发生率逐渐升高(P<0.05)。logistic多因素回归分析显示,年龄增加10岁、BMI、SBP、DBP、TC、LDL-C、UA、Hcy水平升高,TBIL、DBIL水平下降及饮酒史是引发哈萨克族人群心电图ST段偏移、延长及T波改变的独立危险因素(P<0.05)。结论哈萨克族人群常规心电图ST段偏移、延长及T波异常检出率较汉族人群高,年龄增加10岁、肥胖、血压、生化指标异常是导致其异常改变的危险因素。心电图的异常改变结合生化检查及临床资料,对人群缺血性心脏病的初筛有重要临床价值。Objective To explore the electrocardiography(ECG)characteristics in Kazak population in Gansu Province,and investigate the related risk factors for abnormal changes of ECG parameters.Methods A total of 846 Kazak people(study group)and 846 Han people(control group)were recruited from the over 40-year-old participants who taking physical examination in Aksai People′s Hospital from January to December 2020.The baseline data and characteristics of ST-segment and T-wave changes in routine 12-lead ECG were analyzed in the two groups.The prevalence of ST-segment shift and prolongation and T-wave changes in the study group was compared in each age group.SPSS statistics 22.0 was used for statistical analysis.Data comparison between two groups was performed using student′s t test or Chi-square test depending on different data types.Multivariate logistic regression analysis was employed to analyze the risk factors for ST-segment shift and prolongation and T-wave changes.Results There were significant differences in body mass index(BMI),systolic blood pressure(SBP),diastolic blood pressure(DBP),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),total bilirubin(TBIL),direct bilirubin(DBIL),uric acid(UA),homocysteine(Hcy),history of drinking and incidence rates of ST-segment shift and prolongation and T-wave changes between two groups(all P<0.05).In the Kazak group,the incidence of ST-segment and T-wave changes was increased with 10 years of age increase.Multivariate logistic regression analysis showed that age increased by 10 years,increased BMI,SBP,DBP,TC,LDL-C,UA and Hcy levels,decreased TBIL and DBIL levels and history of alcohol drinking were independent risk factors for ST-segment shift and prolongation and T-wave changes in Kazakh group(P<0.05).Conclusion The detection rate of ST-segment shift and prolongation and T-wave abnormality in Kazak people is quite higher than that of Han people.The risk factors of abnormal changes are age increase of 10 years,obesity,abnormal blood pressure and biochemical in

关 键 词：心肌缺血 哈萨克族 心电图 危险因素 

分 类 号：R540.4[医药卫生—心血管疾病]