心电生理平衡指数对蛛网膜下腔出血患者病情评估的价值  

Value of electrophysiological balance index in evaluating the severity of patients with subarachnoid hemorrhage

作　　者：袁琼 赵爱红 YUAN Qiong;ZHAO Aihong(Jiangyin Affiliated Hospital of Nanjing University of Chinese Medicine/Jiangyin Hospital of Traditional Chinese Medicine,Jiangyin 214400,China)

机构地区：[1]南京中医药大学江阴附属医院江阴市中医院,江苏江阴214400

出　　处：《中国实用神经疾病杂志》2025年第2期172-176,共5页Chinese Journal of Practical Nervous Diseases

基　　金：江苏省优势学科建设工程项目(编号:YSHL0815-37)。

摘　　要：目的探讨心电生理平衡指数(iCEB)对蛛网膜下腔出血(SAH)患者病情和严重程度的评估价值。方法选取2020-01—2022-01江阴市中医院收治的50例蛛网膜下腔出血患者为研究对象,另选取50例确诊高血压患者为对照组。计算蛛网膜下腔出血患者的Fisher分级和格拉斯哥昏迷量表(GCS)评分;应用12导联心电图记录并计算患者心率、QT间期、Tp-e间期,QRS持续时间,iCEB(QT/QRS)值,进一步分析其与Fisher分级和GCS评分的关系。结果2组QT间期、Tp-e间期、iCEB值比较,差异有统计学意义(t=28.640、20.666、5.998,P<0.05)。不同Fisher分级患者iCEB值比较,差异有统计学意义(t=8.087,P<0.05)。不同GCS评分患者iCEB值比较,差异有统计学意义(F=14.532,P<0.05)。结论SAH患者的iCEB值明显升高,且患者的严重程度与iCEB呈正相关。Objective To investigate the value of index of cardiac-electrophysiological balance(iCEB)in evaluating the severity of subarachnoid hemorrhage(SAH).Methods Fifty patients with subarachnoid hemorrhage admitted to Jiangyin Hospital of Traditional Chinese Medicine from January 2020 to January 2022 were selected as the study subjects,and 50 patients diagnosed with hypertension were selected as the control group.Fisher grade and Glasgow coma scale(GCS)score of patients with subarachnoid hemorrhage were calculated.The heart rate,QT interval,Tp-e interval,QRS duration and iCEB(QT/QRS)value were recorded and calculated by 12-lead electrocardiogram,and their relationships with Fisher grade and GCS score was further analyzed.Results There were significant differences in QT interval,Tp-e interval and iCEB value between the two groups(t=28.640,20.666,5.998,P<0.05).There were significant differences in iCEB values among patients with different Fisher grades(t=8.087,P<0.05).There were significant differences in iCEB values among patients with different GCS scores(F=14.532,P<0.05).Conclusion iCEB value of patients with subarachnoid hemorrhage is significantly increased,and the severity of subarachnoid hemorrhage is positively correlated with iCEB.

关 键 词：蛛网膜下腔出血 心电生理平衡指数 动脉瘤破裂 病情程度 心电图改变 

分 类 号：R743.35[医药卫生—神经病学与精神病学]