新生儿肺炎心电图异常检出率的分析及临床价值研究

Analysis of Test Rate of Electrocardiographic Abnormality of Neonatal Pneumonia and Research on Clinical Value

目的研究新生儿肺炎心电图异常检出率的分析及临床价值。方法收取该院90例肺炎患儿,收取时间在2011年5月—2015年5月,根据肺炎患儿的病情程度,将其分为重症肺炎组、轻症肺炎组两组,每组患儿45例,再选取45名健康新生儿作为对照组,分析3组心电图情况。结果重症肺炎组44.44%、轻症肺炎组33.33%与对照组新生儿的心电图异常检出率6.67%相比,差异有统计学意义(P<0.05),对照组新生儿有2例异常心电图表现为窦性心动过速、1例异常心电图表现为ST-T改变,重症肺炎组以及轻症肺炎组患儿与对照组相比差异有统计学意义(P<0.05)。结论新生儿肺炎均在不同类型的心电图异常,当肺炎患儿心肌发生损害后、易导致心电图发生异常,其与自身心肌受损程度密切相关,同时心电图对新生儿肺炎的预后和治疗、诊断具有重要的意义。

Objective To research the test rate of electrocardiographic abnormality of Neonatal pneumonia and clinical value. Methods 90 cases of children with pneumonia admitted and treated in our hospital from May 2011 to May 2015 were selected and divided into three groups according to the severity of diseases with 45 cases in each, and 45 cases of healthy newborns were selected as the control group, and the electrocardiographic situations of the three groups were analyzed. Results The test rate of electrocardiographic abnormality of neonatal pneumonia in the severe pneumonia,mild pneumonia and control group was respectively 44.44%, 33.33% and 6.67%, and the difference was statistically significant（P〈0.05）, and in the control group, there were 2 cases with nodal tachycardia and 1 case with ST-T change,and the difference was statistically significant between groups（P〈0.05）. Conclusion The electrocardiographic situation of neonatal pneumonia of different types is abnormal, and the myocardial damage is easy to cause the electrocardiographic abnormality, closely related to the myocardial damage degree, at the same time, the electrocardiograph is of important significance to the prognosis, treatment and diagnosis of neonatal pneumonia.