肺结核患者动态心电图分析及临床意义

Analysis and clinical significance of dynamic electrocardiogram in patients with pulmonary tuberculosis

目的对肺结核患者的动态心电图以及其临床意义进行观察分析,为肺结核患者的临床检测以及治疗提供一定的参考。方法 45例接受动态心电图检查的肺结核住院患者作为研究组;另选取同期45例接受常规心电图检查的肺结核住院患者作为对照组。比较两组患者的心电图异常发生情况。结果研究组患者心电图检测窦性心动过速、窦性心动过缓、期前收缩、心房颤动及心动过速、肺型P波、右室肥大、ST-T改变、肢体导联低电压、顺钟向转位异常发生率均明显高于对照组,差异有统计学意义(χ2=21.6071、4.8649、13.1408、6.0494、5.0748、4.4056、5.4087、40.5000、6.7015,P<0.05)。结论在肺结核患者的治疗中进行动态心电图检测,密切关注患者动态心电图异常情况,可及时发现患者的病情变化,为肺结核治疗工作提供有价值的数据。

Objective To observe and analyze the dynamic electrocardiogram in patients with pulmonary tuberculosis and its significance, so as to provide reference for clinical detection and treatment of pulmonary tuberculosis patients. Methods There were 45 pulmonary tuberculosis patients receiving dynamic electrocardiogram examination as research group, and concurrent 45 pulmonary tuberculosis patients receiving routine electrocardiogram examination as control group. The occurrence of abnormal electrocardiogram was compared between the two groups. Results The research group had obviously higher incidence of sinus tachycardia, sinus bradycardia, premature contraction, atrial fibrillation and tachycardia, pulmonary P wave, right ventricular hypertrophy, ST-T change, limb lead low voltage and clockwise rotation abnormality rate than the control group, and their difference was statistically significant（χ~2=21.6071, 4.8649, 13.1408, 6.0494, 5.0748, 4.4056, 5.4087, 40.5000, 6.7015, P〈0.05）. Conclusion For patients with pulmonary tuberculosis, dynamic electrocardiogram examination and paying close attention to the patient’s dynamic electrocardiogram abnormalities, can find the patient’s condition changes in time, and provide valuable data for the treatment of tuberculosis.