探讨心脏功能参数和心电图表现与妊娠期高血压疾病患者病情程度的关系  

Exploring the Relationship between Cardiac Functional Parameters and Electrocardiographic Performance and the Degree of Disease in Patients with Hypertensive Disorders in Pregnancy

作　　者：杨法[1] 苏明兰 张斌[1] 邓渊升 YANG Fa;SU Minglan;ZHANG Bin;DENG Yuansheng(Department of Cardiovascular Examination and Diagnosis,Zhanjiang Central People´s Hospital,Zhanjiang,Guangdong Province,524045 China;Department of Obstetrics,Dongguan Kanghua Hospital,Dongguan,Guangdong Province,523080 China)

机构地区：[1]广东省湛江中心人民医院心血管检查诊断科,广东湛江524045 [2]广东省东莞康华医院产科,广东东莞523080

出　　处：《世界复合医学》2022年第12期21-24,共4页World Journal of Complex Medicine

基　　金：湛江市科技计划项目(2020B01220)。

摘　　要：目的 探究与分析心脏功能参数和心电图表现与妊娠期高血压疾病患者病情程度的关系。方法 回顾性分析广东省湛江中心人民医院自2019年3月—2020年2月收治的72例妊娠期高血压疾病患者的临床资料,按照疾病的严重程度分为轻度组(43例)和中重度组(29例),对比两组患者的心脏功能参数以及心电图表现,并分析心脏功能参数和心电图表现与妊娠期高血压疾病患者病情程度的关系。结果 与轻度组相比,中重度组LVEF、E峰及E/A峰较低,A峰较高[(61.98±2.61)%vs (64.66±2.39)%、(70.25±4.36)cm/s vs (73.64±5.12)cm/s、(0.94±0.26) vs (1.23±0.34)、(79.65±6.22)cm/s vs (76.44±6.21)cm/s],差异有统计学意义(t=4.419、3.014、4.093、-2.149,P<0.05)。中重度组窦性心动过速、Q-T间期改变、ST-T改变、不完全性右束支传导阻滞、短P-P间期患者所占比例较轻度组高(24.14%vs 4.65%、20.69%vs 2.33%、24.14%vs 2.33%、20.69%vs 2.33%、24.14%vs4.65%),差异有统计学意义(χ^(2)=4.363、4.727、6.281、4.727、4.363,P<0.05)。行Pearson分析可见,妊娠期高血压疾病严重程度与LVEF、E峰、E/A峰呈负相关(r=-0.254、-0.664、-0.359,P<0.05),与A峰及窦性心动过速、Q-T间期改变、ST-T改变、不完全性右束支传导阻滞、短P-P间期呈正相关(r=0.245、0.336、0.574、0.565、0.668、0.339,P<0.05)。结论 对妊娠期高血压疾病患者实施心脏功能参数以及心电图检查,能够更好地对其心脏形态及心脏功能进行科学的评价,为疾病的诊断提供可靠的临床依据,应用价值较高。Objective To investigate and analyze the relationship between cardiac functional parameters and electrocardiographic performance and the degree of disease in patients with hypertensive disorders during pregnancy.Methods The clinical data of 72 patients with hypertensive disorder complicating pregnancy admitted to Zhanjiang Central People´s Hospital in Guangdong Province from March 2019 to February 2020 were retrospectively analyzed.According to the severity of the disease,they were divided into mild group(43 cases)and moderate group(29 cases).The cardiac function parameters and ECG performance of the two groups were compared,and the relationship between cardiac function parameters and ECG performance and the severity of hypertensive disorder complicating pregnancy was analyzed.Results Compared the mild group,the moderate-severe group had lower LVEF,E peak and E/A peak higher A peak,[(61.98±2.61)%vs(64.66±2.39)%,(70.25±4.36) cm/s vs (73.64±5.12) cm/s, (0.94±0.26) vs (1.23±0.34), (79.65±6.22) cm/s vs (76.44±6.21) cm/s], and the difference was statistically significant(t=4.419, 3.014, 4.093, -2.149, P<0.05). The proportion of patients with sinus tachycardia, Q-T interval change, ST-T change, incompleteright bundle branch block and short P-P interval in the moderate and severe group was higher than that in the mild group (24.14%vs 4.65%, 20.69% vs 2.33%, 24.14% vs 2.33%, 20.69% vs 2.33%, 24.14% vs 4.65%), and the difference was statistically significant (χ^(2)=4.363, 4.727, 6.281, 4.727, 4.363, P<0.05). Pearson analysis showed that the severity of hypertensive disorder during pregnancy was negativelycorrelated with LVEF, E peak and E/A peak (r=-0.254, -0.664, -0.359, P<0.05);the A-peak and sinus tachycardia, Q-T intervalchange, ST-T change, incomplete right bundle branch block, and short P-P interval were positively correlated (r=0.245, 0.336, 0.574, 0.565,0.668, 0.339, P<0.05). Conclusion The implementation of cardiac functional parameters and electrocardiography in patients with hypertensivedisorders duri

关 键 词：心脏功能参数 心电图表现 妊娠期高血压疾病 病情程度 

分 类 号：R4[医药卫生—临床医学]