超重男性下壁Ⅲ导联T波倒置的相关因素初探  

Study on the prevalence and related factors of T wave inversion in inferiorⅢlead overweight men

作　　者：虞晓武[1] 孙庆丰[1] 朱丰权 陈咏华[1] YU Xiaowu;SUN Qingfeng;ZHU Fengquan;CHEN Yonghua(Ruian People Hospital,Ruian 325200,China)

机构地区：[1]瑞安市人民医院,浙江瑞安325200

出　　处：《浙江实用医学》2021年第4期313-315,346,共4页Zhejiang Practical Medicine

摘　　要：目的探讨超重男性下壁Ⅲ导联T波倒置的因素及其相关性。方法回顾性收集2019年1-12月浙江省瑞安市人民医院健康管理中心体检者,选择1008名男性,分别接受心电图、血压测量、腹部超声检查、血生化、血常规等检查。对符合条件的100例下壁Ⅲ导联T波倒置(T波倒置组)和908例下壁Ⅲ导联T波非倒置(非T波倒置组)的男性行临床、血压、腹部超声及实验室检查,并比较各参数。结果下壁Ⅲ导联T波倒置的发生率为9.92%。T波倒置组的体质量指数(BMI)、血尿素氮、肌酐、丙氨酸氨基转移酶、红细胞压积、非酒精性脂肪性肝病(NAFLD)发生率明显高于T波非倒置组,而碱性磷酸酶T波非倒置组明显高于NAFLD。Logistics多元回归分析,下壁Ⅲ导联T波倒置与NAFLD(P<0.01)独立相关性最好。体质量指数(P=0.001)和红细胞压积(P=0.003)是下壁Ⅲ导联T波倒置的另两个独立相关因素。结论超重男性中,NAFLD、质量BMI增高和红细胞压积升高者中下壁Ⅲ导联T波倒置比例明显升高,两者具有明显相关性。Objective To investigate the prevalence and correlation of T wave inversion in inferior leadⅢin overweight men.Methods A total of 1008 men who underwent physical examination in the health management center of our hospital from January to December 2019 were collected and examined by electrocardiogram,blood pressure measurement,abdominal ultrasound,blood biochemistry and blood routine examination.The parameters of clinical,blood pressure,abdominal ultrasound and laboratory examination were compared in 100 men with T wave inversion in leadⅢof the inferior wall and 908 patients with T wave inversion in leadⅢof the inferior wall.Results The incidence of T wave inversion in leadⅢof the inferior wall was 9.92%.The body mass index(BMI),blood urea nitrogen,creatinine,alanine aminotransferase,hematocrit and the incidence of non-alcoholic fatty liver disease(NAFLD)in T-wave inversion group were significantly higher than those in T-wave non-inversion group,while the incidence of alkaline phosphatase T-wave inversion group was significantly higher than that in non-alcoholic fatty liver disease(NAFLD).In multivariate logistics regression analysis,the correlation between NAFLD and inverted T wave in inferior leadⅢwas the best(P<0.001).Body mass index(BMI)(P=0.001)and hematocrit(P=0.003)were independent related factors of T wave inversion in leadⅢ.Conclusion There is a significant correlation between T wave inversion in leadⅢof inferior wall and NAFLD,BMI and hematocrit in overweight men.

关 键 词：心电图 T波倒置 下壁Ⅲ导联 超重 男性 

分 类 号：R541.7[医药卫生—心血管疾病]