213例急性脑血管病心电图改变分析

Analysis on the electrocardiogram of 213 patients with acute cerebrovascular disease

目的探讨急性脑血管病心电图变化特点。方法对213例急性脑血管病患者的心电图检查结果进行回顾性分析。结果 213例患者的心电图异常率为67.6%(144/213)。出血组异常率为85.9%(79/92),明显高于缺血组[53.7%(65/121)],差异有统计学意义(P<0.05)。心电图异常主要表现为ST-T改变、Q-T间期延长、窦性心动过速、明显U波、心房颤动、房性早搏、室性早搏、传导阻滞等。治疗后复查心电图有61例恢复正常,76例改善,7例无改善甚至恶化。结论急性脑血管病患者的心电图异常发生率高,其心电图表现可随病情的好转而改善或恢复正常。因此,临床上加强心电图的监测对指导治疗和改善预后均具有重要意义。

Objective To investigate the characters of electrocardiogram （ECG） of acute cerebrovascular disease. Methods The data of ECG of 213 cases of acute cerebrovascular disease were retrospectively analyzed. Results The rate of abnormal ECG was 67.6% （144/213）, which was 85.9% （79/92） in the Bleeding group, signifi- cantly higher than that in the ischemia group [53.7% （65/121）], P〈0.05. Abnormal ECG primarily showed ST-T chang- es, Q-T interval prolongation, sinus tachycardia, hypertrophy, apparent U wave, atrial fibrillation, atrial premature beats, ventricular premature beats, conduction block, etc. After treatment, the ECG returned to normal in 61 cases, im- proved in 76 cases, and showed no improvement in 7 cases. Conclusion The incidence of abnormal ECG is high, and the ECG changes or returns to normal as the acute cerebrovascular disease improves. Therefore, strengthening the monitoring of ECG has great significance for guiding the clinical treatment and improving the prognosis.