急性脑血管病合并心电图异常68例临床分析

The Clinical Analysis of 68 cases of Acute Cerebral Vascular Disease Combine With Abnormal Electrocardiograph(ECG)

目的探讨急性脑血管病合并心电图异常的发生、急性脑血管病类型、意识清醒情况以及预后情况。方法选择我院收治的68例急性脑血管病患者,在入院后对其进行心电图监测,对其心电图结果进行统计学分析。结果 68例患者中共有58例出现心电图异常,约占85.25%。其中脑出血组的心电图异常共有30例,约占93.75%;脑血栓组的心电图异常共有13例,约占40.63%;蛛网膜下腔出血7例,约占77.78%。意识障碍患者的心电图异常率相比意识清醒患者的差异具有统计学意义(P<0.05)。心电图异常患者心电图复查结果 ,其中53例恢复至正常,15例最终死亡,死亡患者心电图异常情况较为显著。结论急性脑血管病与心脏疾病密切相关,通过监测心电图的异常变化有助于制定完善的治疗方案,明显改善预后,可以作为治疗急性脑血管疾病患者的一个非常重要的手段。

Objective To explore the occurrence of acute cerebral vascular disease with abnormal ECG and the types, conscious and prognosis of acute cerebral vascular disease. Methods 68 cases of acute cerebral vascular disease patients treated in our hospital were included in this study. We summarized the ECG monitoring results of these patients. Results In the 68 patients, 58 patients had abnormal electrocardiograms （ECG）, accounting for about 85.25%. There were 30 patients in the brain hemorrhage group with abnormal ECG, which accounted for about 93.75%. There were 13 patients in the cerebral thrombosis group with ECG abnormal, which accounted for 40.63%. There were 7 patients in subarachnoid hemorrhage group with ECG abnormal, which accounted for 77.78%. The abnormal rate of ECG in patients with disorders of consciousness was higher than that of the conscious patients with statistical signiifcance difference （P〈0.05）. The ECG reexamination results of the ECG abnormal patients showed that 53 cases recovered to normal, 15 cases died. The results of ECG of dead patients were remarkable abnormal. Conclusion The acute cerebrovascular disease and heart disease are closely related. The abnormal changes of monitored ECG is helpful to develop treatment programs, improve the prognosis and can be used as a very important means of treatment for the patients with acute erebrovascular disease.