6900名事业单位职工健康体检的心电图分析

Analysis of routine electrocardiogram examination in 6900 members of enterprise unit

目的：观察事业单位在职人员的异常心电图分布状况。方法：2004年对深圳市福田区部分事业单位6900例在职人员进行了常规心电图检查．并对异常心电图分类统计。结果：在职人员正常心电图占86.25%．异常心电图占 13.75%．以窦性心律失常(窦性心动过缓2.65%,窦性心动过速1.90%。窦性心律不齐1.20%,共5.75%)为最多．其次为 ST-T 改变(4.68%),早期复极综合征(1.02%),束支传导阻滞(0.45%)．室性早搏(0.42%),肢导低电压(0.35%),房性早搏(0.26%),左心室肥厚(0.26%),左房肥大(0.25%),预激综合征(0.15%),房室传导阻滞(0.10%),心房颤动(0.01%)。异常心电图检出率男性高于女性(9.98%：3.77%,P＜0.01),结论：在职人员中男性异常心电图的检出率高于女性,ST—T 异常率达4.68%,故应定期行心电图普查．早期发现心血管病。

Objective： To investigate the distribution of abnormal electrocardiogram （ECG） in enterprise unit members. Methods： Routine ECG examination was performed in 6900 members of enterprise unit of Shenzhen Futian district, and abnormal ECG was classified statistics. Results： The proportion of normal and abnormal ECG in members of enterprise unit were 86.25% and 13.75%, respectively. Maximum abnormal ECG was sinus arrythmia （sinus bradcardia 2.65%, sinus taehyeardia 1.90%, sinus irregularity 1.20%）; second was ST-T abnormal, next was pre-excitation syndrome （1.02%）, bundle branch block （0. 45%）, ventricular prematrue beat （0. 42%）, atrial premature beat （ 0. 26 % ）, low voltage （0.35 % ）, left ventricular hypertrophy （0. 26 % ）, left atrial enlargement （0.25 % ）, atrial ventricular block （0.10%）, atrial fibrillation （0. 01%） respectively. Proportional rate of abnormal ECG among males was higher than that of females （9.98% vs 3.77%, P〈0. 01）. Conclusion： Detection rate of abnormal ECG in male is higher than that of female. Extensive survey of ECG conduces to find cardiovascular diseases early.