A型行为与心律失常的相关性研究

A study on the relationship between type A action and arrhythmia

目的:通过问卷调查,分析A型行为与心律失常的相关性。方法:收集2003年4月—9月100例心律失常患者的动态心电图检查结果及A型行为问卷的调查,并对其中96例(有效问卷)的检查结果进行了分析及统计学处理。结果:A型行为与心律失常的发生及其程度呈正相关:心律失常的发生率及其严重程度在A型行为组与非A型行为组的比较中,P均<0.05,差异有显著意义。结论:心律失常患者尤其是冠心病、高血压等病伴心律失常的患者,改变其性格行为对于预防心性猝死具有重要意义。

Objective:To investigate the etiology of type A actions and the relationship between the arrhythmias and psychological actions using questionairs.Method:The results of DCG monitoring and the questionairs about type A actions were collected from 100 patients who had arrhythmias.Analysis and statistical processing were accomplished in these two kinds of results among 96 cases from February to September, 2003(effective questionairs reseived).Result: Type A actions were related to the prevalence of arrhythmias and its severity.The prevalence and severity degree of arrhythmias were significantly different between the type A group and others(P<0.05).Conclusion:The change of character and actions can attribute to prevent cardiac sudden death for those who have arrhythmia, especially with coronary heart disease or hypertension.Author′s address Huazhong University Science and Technology Affiliated Union Hospital of Tongji Medical College,430022