心电网络系统在职业健康体检人群ST-T改变性质判定中的应用  

Application of ECG network system in identifying nature of ST-T changes among occupational health examination population

作　　者：黄伟娜 马金安 彭亚娟 卢紫芬 林亭亭 HUANG Weina;MA Jinan;PENG Yajuan;LU Zifen;LIN Tingting(Department of Electrophysiology,Southern University of Science and Technology Hospital,Shenzhen Guangdong 518055,China)

机构地区：[1]南方科技大学医院电生理科,广东深圳518055

出　　处：《实用心电与临床诊疗》2025年第1期103-106,共4页PRACTICAL ELECTROCARDIOLOGY AND CLINICAL TREATMENT

基　　金：2021年南山区科技计划项目(医疗卫生类)(NS076)。

摘　　要：目的探讨心电网络系统在职业健康体检人群心电图ST-T改变性质判定中的应用价值。方法选取2023年8月至2024年3月进行职业健康体检且心电图显示ST-T改变的60例体检者作为研究对象。采用心电网络系统对所有体检者进行动态观察,通过复查及普萘洛尔试验分析ST-T改变的性质。结果经心电网络系统检查及综合评估,在60例ST-T改变的体检者中,复查后ST-T恢复正常者21例,仍有ST-T改变者39例。在仍有ST-T改变的39例患者中,符合条件进行普萘洛尔试验的有30例,其中有27例试验后判定为正常。经过复查及普萘洛尔试验前后进行对比,51例中有48例排除器质性病变,考虑为功能性改变;3例为可疑器质性改变;9例因特殊原因而无法评价。结论心电网络系统复查及普萘洛尔试验有助于加强对职业健康体检人群心电图ST-T改变性质的初步判定,为临床早期干预及职业健康管理提供重要依据。Objective To explore the application value of ECG network system in determining the nature of ST-T changes in the ECGs of occupational health examination population.Methods Sixty physical examinees who had undergone occupational health examinations from August 2023 to March 2024 and showed ST-T changes in their ECGs were selected as research objects.The ECG network system was used for dynamic observation of all physical examinees,and the nature of ST-T changes was analyzed through re-examination and the propranolol test.Results In the 60 physical examinees with ST-T changes,ST-T changes recovered in 21 cases after reexamination while 39 cases still had ST-T changes through examination based on ECG network system and comprehensive evaluation.Of the 39 patients with remained ST-T changes,30 cases were qualified for the propranolol test,among whom 27 cases were determined to be normal after the test.We made comparison before and after re-examination,and the propranolol test;organic lesions were excluded in 48 out of 51 cases,regarded as functional changes,3 cases were suspected with organic changes,and 9 cases can not be evaluated for special reasons.Conclusion Re-examination by ECG network system and the propranolol test are helpful to strengthen the preliminary judgment of the nature of ST-T changes in ECGs of the occupational health examination population,providing an important basis for early clinical intervention and occupational health management.

关 键 词：心电网络系统 职业健康检查 心电图 ST-T改变 普萘洛尔试验 

分 类 号：R540.41[医药卫生—心血管疾病]