不同年龄病毒性心肌炎患者临床心电图差异分析

Clinical electrocardiogram in viral myocarditis variance of young group

目的 分析低龄儿与成人病毒性心肌炎心电图表现,为临床诊断和治疗提供依据.方法 采用excel录入数据,对2001年1月～2013年1月住院的183例病毒性心肌炎患者,按年龄分为低龄儿组126例、成人组57例的异常心电图用SPSS 16.0统计软件进行对比、分析.结果 心律失常低龄儿占110例（87.30％）,成人22例（38.60％）;低龄儿心电图表现异常程度明显,以室性旱搏为主,心律失常的发生率比成人高,差异有统计学意义（P＜0.05）.ST-T改变：低龄几45例（35.71％）,成人35例（61.40％）;传导阻滞：低龄几21例（16.67％）,成人27例（47.37％）;成人ST-T改变、传导阻滞的发生率均比低龄儿高,差异有统计学意义（均P＜0.05）.两组低电压、Q-T延长、异常Q波发生率接近,差异无统计学意义（均P＞0.05）.结论 低龄儿与成人病毒性心肌炎患者的心电图改变在心律失常、ST-T改变、传导阻滞三个方面的发生率差异明显,对临床提高病毒性心肌炎的诊断、指导用药、估计心肌受损程度及预后具有重要的参考价值.

Objective To analyze electrocardiogram in The electrocardiogram 183 patients with viral myocarditis were analyzed.Methods Using excel input data,in our hospital from January 2001 to January 2013 in the hospital,183 cases of patients with viral myocarditis （young group 126 cases,in 57 cases） in the abnormal electroca4rdiogram （ecg） compar3ed with SPSS 16.0 statistical software,the analysis.Results The incidence of arrhythmia of young and adults patients were 87.30% and 38.60% （P〈0.05）.The incidence of conduction block of young and adults patients were 16.67% and 47.37% （P〈0.05）.Conclusion The incidence of cardiac arrhythmias,ST-T change and conduction block of young patients with viral myocarditis are different from that of the adults.