急性脑梗死与脑出血患者心电图变化及其与预后的关系

Relationship between electrocardiogram changes and prognosis in acute cerebral infarction and cerebral hemorrhage

探讨急性脑梗死与脑出血患者心电图变化及其与预后的关系。方法选取急性脑梗死和脑出血患者各100例,分析心电图异常与不同病变部位、预后的关系。结果脑梗死组出现ST-T改变、窦性心动过缓、房颤明显高于脑出血组(P<0.01),而窦性心动过速、异位心动过速及左心室肥厚低于脑出血组(P<0.01)。两组中不同部位病变出现心电图异常的差异无统计学意义(P>0.05),但存活者的心电图异常率明显低于死亡组(P。结论 <0.05)急性脑梗死和脑出血患者心电图异常与病变部位无关,但与预后有关。

Objective To investigate the relationship between electrocardiogram（ECG） changes and prognosis in patients with acute cerebral infarction（ACI） and cerebral hemorrhage（ACH）. Methods ECG was performed on 100 ACI and 100 ACH patients. The relationship between ECG abnormalities and different lesion sites and prognosis was analyzed. Results Compared with ACH group, ST-T change, sinus bradycardia, and atrial fibrillation were more, while sinus tachycardia, ectopic tachycardia and left ventricular hypertrophy were less in ACI group（P〈0.01）. In both groups, the difference of abnormal ECG was insignificant among different lesion sites（P〉0.05）, while ECG abnormalities were lower in survivors than in deaths（P〈0.05）. Conclusion The abnormal ECG is unrelated to lesion sites but correlated with prognosis in ACI and ACH patients.