30例急性脑卒中患者心电图改变分析

Analysis of Electrocardiogram Changes in 30 Cases of Acute Stroke

目的:通过对30例急性脑卒中患者心电图分析,了解其临床意义。方法:回顾性分析笔者所在医院收治的30例脑卒中患者的心电图检查资料,对异常心电图进行分析。结果:30例患者中,19例出现心电图异常,以ST-T段改变及心律失常常见,与脑叶病变相比,脑深部病变发生心电图异常发生率较高,两者比较差异有统计学意义(P<0.05)。脑梗死与脑出血比较,差异无统计学意义(P>0.05)。治疗后9例心电图恢复正常。结论:脑深部病变更易出现心电图异常,脑卒中患者心电图异常随着病情的平稳而好转。

Objective： Through the analysis of ECG in 30 cases with acute stroke to understand the clinical significance.Method： ECG data of 30 cases with stroke in our hospital were analyzed retrospectively, analyzing the abnormal ECG.Result： 30 cases, 19 cases with abnormal ECG to ST-T changes and arrhythmia mainly.Compared with brain lobes lesions, brain deep lesions had high incidence of abnormal ECG, there was significant difference in two groups（P〈0.05）.There was no significant difference between cerebral infarction and cerebral hemorrhage（P〉0.05）.9 cases recovered normal ECG after treatment. Conclusion： Brain deep lesions are more occur to abnormal electrocardiogram, stroke patients with abnormal ecg is improving the smooth.