摘要
目的研究老年颈椎病患者急性发作期与稳定期24h动态心电图变化,为其引起的心律失常治疗提供依据。方法选取干休所颈椎病患者127例,将127例患者按稳定期和发作期分为A、B两组,A组为稳定期24h动态心电图检查结果,B组为急性发作期24h动态心电图检查结果,分析两组结果。结果颈椎病患者急性发作期最高心率、最低心率、平均心率、室上性早搏次数、室性早搏次数、窦性心动过速例数、束支传导阻滞例数、室上性心动过速例数、房颤和房扑例数和ST-T缺血性改变例数较稳定期显著增加(P<0.05)。127例患者经中西医结合治疗,其中124例心律失常消失,心电图恢复正常,另3例也有显著改善。结论颈椎病发作时可增加患者心律失常的发生率,机制可能与颈椎椎间盘压迫神经和血管有关。
Objective To study the 24-hour dynamic electrocardiogram of old people suffering from cervical spondylosis during acute attack and stable period and to provide some basis for the treatment of the triggered arrhythmia. Methods 127 old patients suffering from cervical spondylosis were selected and divided into two groups referred as A and B characterized respectively by stable period and acute attack.The recordings of group A showed the 24-hourdynamic electrocardiogram of the patients in stable period while those of group B showed the 24-hourdynamic electrocardiogram of the patients in acute attack. Analyze the recordings of the two groups. Results The maximum, minimum and average heart rate, supraventricular and ventricular premature beat of the patients in acute attack were much higher than those of the patients in stable period. Besides, there were obviously more cases of nodal tachycardia, bundle branch block, supraventricular tachycardia, atrial fibrillation, atrial flutter and ST-T ischemic alteration in the patients characterized by acute attack. Among all the 127 patients, 124 of them were freed of arrhythmia and their examination of electrocardiogram showed no sign of abnormality after combined treatment of traditional Chinese medicine and western medicine. As for the other 3 ones, their condition also greatly improved after treatment. Conclusion The occurrence rate of arrhyythmia increases during a cervical spondylosis attack and this may result from the fact that cervical disc constricts nerves and vessals.
出处
《中国医药科学》
2015年第3期214-216,共3页
China Medicine And Pharmacy
关键词
老年人
颈椎病
发作期
稳定期
动态心电图
Old people
Cervical spondylosis
Acute attack
Stable period
Dynamic electrocardiogram