短P-R间期与妊娠期妇女的关联  

Association of short P-R interval with pregnant women

作　　者：余瑶璟 翁春飞 雷礼琴 朱婉红 刘霄妮 YU Yaojing;WENG Chunfei;LEI Liqin;ZHU Wanhong;LIU Xiaoni(Department of ECG Function,Jingdezhen Second People's Hospital in Jiangxi Province,Jingdezhen 333000,China;ECG Laboratory,Jingdezhen Maternal and Child Health Hospital in Jiangxi Province,Jingdezhen333000,China;Department of Obstetrics,Jingdezhen Second People's Hospital in Jiangxi Province,Jingdezhen 333000,China)

机构地区：[1]江西省景德镇市第二人民医院心电功能科,江西景德镇333000 [2]江西省景德镇市妇幼保健院心电图室,江西景德镇333000 [3]江西省景德镇市第二人民医院产科,江西景德镇333000

出　　处：《中国现代医生》2022年第14期109-111,124,共4页China Modern Doctor

基　　金：江西省景德镇市科技计划项目(20191SFZC061)。

摘　　要：目的探讨妇女妊娠与短P-R间期发生的相关性。方法选取2019年8月至2021年8月在江西省景德镇市第二人民医院入院待产行常规心电图检查的100例短P-R间期妊娠期女性为观察组,取同期健康体检的100名短P-R间期非妊娠健康女性为对照组。两组均接受心电图检查,并对其检查结果进行分析比较,随访孕妇分娩方式。结果与对照组比较,观察组短P-R间期发生率较高(P<0.05);短P-R间期孕妇自然分娩率72.22%,剖宫产率27.78%;正常P-R间期孕妇自然分娩率73.17%,剖宫产率26.83%,两组分娩方式差异无统计学意义(P>0.05)。结论对妊娠女性而言,尤其是妊娠晚期其心电图短P-R间期的发生率相对较高,临床医师应根据短P-R间期发生的具体原因,并结合孕妇实际情况进行诊断,以便选取合理的治疗方案,做好正确的孕妇产前指导、产时处理以及产后追踪等,确保母婴安全。Objective To investigate the correlation between pregnancy and the occurrence of the short P-R interval.Methods From August 2019 to August 2021,a total of 100 pregnant women with the short P-R interval who were admitted to Jingdezhen Second People's Hospital in Jiangxi Province for the routine electrocardiogram examination were selected as the observation group,and 100 healthy women who came to our hospital for the physical examination during the same period were selected as the control group.The two groups were given the electrocardiogram examination and the results were analyzed and compared.The women were followed for their delivery patterns.Results Compared with the control group,the incidence of the short P-R interval was higher in the observation group(P<0.05).The incidence of the short P-R interval in the first trimester group was lower than those in the second trimester group and the third trimester group,and the incidence in the second trimester group was lower than that in the third trimester group(P<0.05).The incidences of anemia and sinus tachycardia in the first trimester group were lower than those in the second trimester group and the third trimester group,and the incidences in the second trimester group were lower than those in the third trimester group(P<0.05).Among pregnant women with short P-R intervals,the rate of natural delivery was 72.22%and the rate of cesarean section was 27.78%.Among pregnant women with normal P-R intervals,the rate of natural delivery was 73.17% and the rate of cesarean section was 26.83%.No statistically significant difference was observed in the delivery pattern between the two groups(P>0.05).Conclusion For pregnant women,especially women in late pregnancy,the incidence of the electrocardiogram short P-R interval is relatively high.Clinicians should make diagnosis based on the specific causes of the short P-R interval and the actual situation of pregnant women,so as to select a reasonable treatment plan,do a good job in prenatal guidance,delivery management and postpa

关 键 词：妊娠期妇女 短P-R间期 贫血 窦性心动过速 

分 类 号：R444[医药卫生—诊断学] R714[医药卫生—临床医学]