对退休人群119例右束支传导阻滞患者分析及预测

目的:了解退休人群健康体检中右束支传导阻滞(RBBB)患病状况及预后。方法:收集2010年退休人群健康体检的3512例心电图,结合病史采集、体格检查、生化、胸片等分析,2年后复检。结果:2010年底退休人群体检中检出RBBB 119例,占总人数的3.7%,男性及人群患完全性右束传导阻滞(CRBBB)合并慢性病与不完全性右束传导阻滞(IRBBB)比较,差异有统计学意义(P<0.05);性别为CRBBB的强影响因子(OR=3.27);2年后复检有30例发生心血管事件,心血管事件多发生于CRBBB患者中,与IRBBB患者比较,差异亦有统计学意义(P<0.05)。结论:CRBBB对心血管事件具有一定的风险提示作用,社区卫生服务中心等基层医疗机构应对有CRBBB合并慢性病高危患者加强随访管理,避免心血管恶性事件的发生。

Objective：To understand the right bundle branch block （RBBB） preva- lence and prognosis in health examination of retired people.Methods：Collection the ECG of 3512 cases of retired People in communi- ty health services center in 2010, com- bined with the analysis of medical history, physical examination,biochemical,chest,and the review of 2 years after.Results：By the end of 2010,there were RBBBll9 eases in retired people,accounting for 3.7% of the to- tal number.male and patients with chronic disease between CRBBB and 1RBBB pa- tients was statistically significant （P 〈 0.05）. Gender as influence factors of CRBBB （OR= 3.27）;the review of 2 years after,a total of 30 cases of cardiovascular events,Cardiovaseu- lar events more occurred in patients with CRBBB,Compared with IRBBB patients, there was significant difference statistically （P 〈 0.05）.Conelusion：CRBBB has a certain risk for cardiovascular events,suggeste that community health center should strengthen management to the patients with CRBBB and chronic disease risk,to avoid the occur- renee of cardiovascular events.