96例Ⅱ型糖尿病患者动态心电图检测结果分析

Dynamic electrocardiogram detection in 96 patients with diabetes (TypeB)

应用 2 4h动态心电图检测 96例Ⅱ型糖尿病患者 ,包括无心血管并发症患者 (A组 ) 4 2例 ,有心血管并发症患者 (B组 ) 5 4例 ,并与健康对照组比较。结果 :B组有较高的室性与房性心律失常发生率 (P <0 .0 1) ,A组心律失常发生率无明显增高。B组Lown’s分级≥ 3的室性心律失常和短阵房速、房颤发生率分别为 40 .7%和 42 .6 % ,均明显高于A组的14.3%和 16 .7% (P均 <0 .0 1)。

The 24-hour dynamic electrocardiogram was used to dectect 96 patients with diabetes (typeII), of which 42 patients (groupA) without cardiovascular complication, 54 patients (groupB) suffered with cardiovascular complication, both were compared with those of healthy control group. Results showed that patients in groupB had high incidence of ventricular and atrial arrhythmia ( P <0.01). The incidence of arrhythmia in GroupA increased little. The incidence of ventricular arrhythmia and transient atrial fibrillation in group B were 40.7% and 42.6%, respectively, according to Lown's classification≥3, both were obviously higher than those in group A, of which were 14.3% and 16.7% ( P <0.01), respectively. It could be concluded that the major factor of severe arrhymia in patients with diabetes II would be angiocardiopathy.