ST段下移、ST-T改变与房性或室性早搏的相关性  

Correlation between ST-segment depression,ST-T changes and atrial premature beats or premature ventricular contraction

作　　者：李蓉 宋潇 赵瑞 王兵玲 马明仁 LI Rong;SONG Xiao;ZHAO Rui;WANG Bingling;MA Mingren(Department of Cardiology,the 940th Hospital of Joint Logistics Support Force of Chinese PLA,Lanzhou Gansu 730050,China)

机构地区：[1]中国人民解放军联勤保障部队第九四〇医院心血管内科,甘肃兰州730050

出　　处：《实用心电学杂志》2024年第6期572-577,583,共7页Journal of Practical Electrocardiology

基　　金：甘肃省自然科学基金资助项目(GSWSKY2023-47);联勤保障部队第九四〇医院院内课题(2021yxky080)。

摘　　要：目的探讨ST段下移、ST-T改变与房性早搏和室性早搏之间的关联性。方法使用单因素及多因素Logistic回归分析,对临床心电图资料进行回顾性分析,研究ST段下移、ST-T改变与房性早搏、室性早搏之间的相关性。结果通过对4952例患者的心电图资料进行汇总分析,发现ST段下移和ST-T改变与房性早搏和室性早搏均存在显著相关性。ST段下移者发生房性早搏和室性早搏的概率分别是ST段未下移者的9.00倍和13.65倍;出现ST-T改变者发生房性早搏和室性早搏的概率分别是未出现者的27.60倍和22.00倍。经多因素Logistic回归分析同样发现,ST段下移达0.05 mV和ST-T改变是决定房性早搏和室性早搏发生的关键因素。结论ST段下移、ST-T改变可能是房性早搏和室性早搏发生的危险因素。Objective To explore the correlation between ST-segment depression,ST-T changes,and atrial premature beats(APB)or premature ventricular contraction(PVC).Methods By univariate and multivariate Logistic regression analysis,retrospective analysis was conducted on clinical ECG data to determine the relationship between ST-segment depression,ST-T changes,and APB or PVC.Results Analysis of the ECG data from 4952 patients revealed a significant correlation of ST-segment depression and ST-T changes with APB and PVC.Among the patients with ST-segment depression,the incidences of APB and PVC separately increased to 9.00 and 13.65 times the incidences in the patients without ST-segment depression.Among the patients with ST-T changes,the incidences of APB and PVC separately increased to 27.60 and 22.00 times the incidences in the patients without ST-T changes.Multivariate Logistic regression analysis also found that ST-segment depression of up to 0.05 mV and ST-T changes were key factors influencing the occurrence of APB and PVC.Conclusion ST-segment depression and ST-T changes may serve as risk factors for the occurrence of APB and PVC.

关 键 词：ST段下移 ST-T改变 房性早搏 室性早搏 心电图 相关性 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]