急性脑血管病与心脏损伤关系探讨

Analysis of the relationship between acute cerebrovascular disease and heart injury

目的探讨急性脑血管病与心脏损伤的关系。方法150例急性脑血管病患者发病后24h内行心电图检查及心肌酶谱检测。结果(1)150例急性脑血管病患者中有114例(76%)发生心电图异常改变;心肌酶谱异常106例(70.6%)。(2)不同性质的急性脑血管病患者心电图及心肌酶谱异常发生率无显著性差异(P>0.05)。(3)不同部位的急性脑血管病患者心电图及心肌酶谱异常率存在显著差异(P<0.05)。(4)发生意识障碍的急性脑血管病患者与无意识障碍的患者之间心电图与心肌酶谱异常率存在显著差异(P<0.05)。结论急性脑血管病患者可引起心电图与心肌酶谱的异常改变,其与病变性质无关,而与病变部位和意识有关。

Objective To analyze the changes of the electrocardiogram and cardiac creatase in blood serum when suffered from acute cerebrovascular disease complicated with heart injury. Methods The electrocardiograms of 150 patients with acute cerebrovascular disease were examined and the content of cardiac creatase in blood serum of them was detected within 24 hours after hospitalization. Results Among the 150 patients with acute cerebrovascular disease, 114 cases （76%） appeared electrocar- diographic abnormality and there were 106 cases （70.60/00） whose cardiac creatase in serum heightened, there were no obvious differences between subarachnoid hemorrhage group and cerebral hemorrhage group （P〉 0.05）. There were no significant differences in the abnormal variation of electrocardiograms and the levels of cardiac creatase in serum between conscious disturbance group and non-conscious disturbance group （P〈0.05） . Conclusion The patients with acute cerebrovascular disease are often complicated with heart injury whose electrocardiograms and cardiac creatase in serum are changed. The extent of abnormality is positively correlated with the conscious disturbance and the position.