青海省海晏县微量蛋白尿增高的老年人心电图的检测及临床意义

The ECG and clinical significance of elderly people with high microglobulin of Urine in Haigan Country in Qinghai

目的探讨不同微量蛋白尿水平老年人心电图的改变及临床意义。方法采用随机对照方法,在青海省海晏县(海拔3000m以上)选择386例老年人,根据尿微量蛋白的水平,分为正常组和尿微量蛋白增高组,对其中资料完整的205例,进行两组间心电图和生化指标的比较。结果两组相比,尿微量蛋白增高组在心电图异常(心肌缺血)(P=0.014)、餐后2h血糖(P=0.024)、肌酐(P=0.029)、收缩压等方面明显增高,差异具有显著性。结论对高原地区老年人群进行常规心电图、尿微量蛋白检测有助于早期发现心肾病变,为早期预防及治疗提供实验室依据。

Objective To study the clinical character of ECG with different microglobulin in the elderly. Methods 205 cases were subdivided into 2 groups according the level of microalbuminuria, compare and analyse the appearances of ECG. Results There was markedly difference of two groups with ST-T change（P = 0. 014） ,PBG（P =0. 024） ,Cr（P =0. 029） and SBP（P =0. 007）. Conclusion Routine ECG and microglobulin of urine can helpful for the diagnose and treatment on heart-renal disease.