红细胞沉降率对心电图的影响

Relationship between ECG and erythrocyte sedimentation rate

目的:探讨肺结核患者红细胞沉降率(ESR)对心脏电活动的影响。方法:按ESR检查结果将650例肺结核患者分为4组:ESR正常组、ESR轻度增快组、ESR中度增快组和ESR重度增快组;分别对各患者入院检查的心电图作出诊断。结果:ESR重度增快组心电图总异常发生率大于ESR正常组(P<0.05);与ESR正常组比较,其余3组快速性心律失常发生率升高(P<0.05);ESR重度增快组ST-T及T波改变发生率大于ESR正常组(P<0.05)。结论:肺结核ESR增快患者,心电图异常发生率、快速性心律失常、ST-T及T波改变发生率增高。

Objective：To investigate the relationship between ECG and erythrocyte sedimentation rate（ESR） in pulmonary tuberculosis patients. Method：Divided 650 cases of pulmonary tuberculosis patients into 4 groups： ESR normal group,ESR mild added fast group,ESR moderate added fast group,height added fast group,then analyzed their electrocardiograms. Result：The rate of electrocardiographic abnormality in height added fast group was higher than in normal group（P〈0.05）.Compared to normal group,the rate of tachyarrhythmia was higher in other 3 groups（P〈0.05）.And the rate of ST-T and T wave in height added fast group was higher than in normal group（P〈0.05）. Conclusion：Tuberculosis bacili make pulmonary tuberculosis patient’s ESR fast,and make the rate of electrocardiographic abnormality,tachyarrhythmia,ST-T and T wave higher.