12导联动态心电图对心肌梗死患者预后的预测价值  

The Predictive Value of 12 Lead Dynamic Electrocardiogram on the Prognosis of Patients with Myocardial Infarction

作　　者：祁菊惠 QI Ju-hui(Qingyang People’s Hospital,Gansu Qingyang 745000)

机构地区：[1]庆阳市人民医院,甘肃庆阳745000

出　　处：《中国医疗器械信息》2024年第13期113-115,共3页China Medical Device Information

摘　　要：目的:探讨与分析12导联动态心电图对心肌梗死患者预后的预测价值。方法:选择2022年1月~2022年12月在甘肃省庆阳市人民医院心血管内科住院的心肌梗死患者110例作为研究对象,所有患者均行12导联动态心电图检查,记录心率变异性指标。调查患者的一般资料,随访预后复发情况并进行预测相关性分析。结果:110例患者随访到2023年3月1日,平均随访时间为(6.50±0.41)个月,复发20例(复发组),复发率为18.18%。复发组的性别、吸烟史、饮酒史、年龄、体重指数与未复发组对比差异不大(P>0.05)。复发组的高密度脂蛋白胆固醇、总胆固醇、甘油三酯、低密度脂蛋白胆固醇、空腹血糖与未复发组对比差异不大(P>0.05)。复发组的PNN50、RMSSD、SDNNI、SDANNI、SDNN值低于未复发组(P<0.05)。Spearman相关性分析显示预后复发与12导联动态心电图指标-PNN50、RMSSD、SDNNI、SDANNI、SDNN都呈负相关性(P<0.05)。结论:心肌梗死预后复发情况比较常见,复发患者多表现为12导联动态心电图心率变异性降低,12导联动态心电图对心肌梗死患者预后复发具有很好的价值。Objective:To explore and analyze the predictive value of 12 lead dynamic electrocardiogram on the prognosis of patients with myocardial infarction.Methods:From January 2022 to December 2022,110 patients with myocardial infarction who were hospitalized in the cardiovascular department of Qingyang People’s Hospital in Gansu Province were selected as the study subjects.All patients underwent 12 lead dynamic electrocardiogram examination and recorded heart rate variability(HRV)indicators.The general data of the patients were investigated,the recurrence of prognosis was followed up and the correlation of prediction was analyzed.Results:110 patients were followed up until March 1,2023,with an average follow-up time of(6.50±0.41)months.There were 20 cases of recurrence(recurrence group),and the recurrence rate was 18.18%.There was no statistically significant difference in gender,smoking history,alcohol consumption history,age,and body mass index between the recurrence group and the non recurrence group(P>0.05).There was no statistically significant difference in high-density lipoprotein cholesterol,total cholesterol,triglycerides,low-density lipoprotein cholesterol,and fasting blood glucose between the recurrence group and the non recurrence group(P>0.05).The PNN50,RMSSD,SDNNI,SDANNI,and SDNN values of the recurrence group were lower than those of the non recurrence group(P<0.05).Spearman correlation analysis showed a negative correlation between prognosis recurrence and 12 lead dynamic electrocardiogram indicators such as PNN50,RMSSD,SDNNI,SDANNI,and SDNN(P<0.05).Conclusion:Recurrence after myocardial infarction is relatively common,and recurrent patients often show reduced heart rate variability on 12 lead dynamic electrocardiogram.12 lead dynamic electrocardiogram has good value in predicting recurrence in patients with myocardial infarction.

关 键 词：心肌梗死 预后 复发 12导联动态心电图 心率变异性 

分 类 号：TH772[机械工程—仪器科学与技术]