急性胃肠炎的临床表现与心电图检查结果研究

Research on the Clinical Manifestation and Electrocardiogram Diagnosis of Acute Gastroenteritis

为分析急性胃肠炎的临床表现,对其心电图检查结果进行研究。选取我院2016年6月至2017年10月收治的急性胃肠炎患者44例,分别进行常规心电图及24h动态心电图检查,对比ST-T段改变及心律失常的检查结果,并对急性胃肠炎的临床表现进行分析。结果显示,常规心电图检查ST-T段改变、室性早搏、房性早搏的阳性率分别为6.8%、13.6%和22.7%;24h动态心电图检查ST-T段改变、室性早搏、房性早搏的阳性率分别为22.7%、31.8%和43.2%;24h动态心电图检查ST-T段改变及心律失常的阳性率高于常规心电图(P <0.05)。年龄<40岁的患者ST-T段改变、室性早搏、房性早搏、中重度脱水的占比分别为20.0%、28.6%、31.6%和33.3%;年龄≥40岁的患者ST-T段改变、室性早搏、房性早搏、中重度脱水的占比分别为80.0%、71.4%、68.4%和66.7%;年龄40岁以上患者中重度脱水、ST-T段改变及心律失常的占比高于40岁以下的患者,比较有统计学意义(P <0.05)。结果表明,心电图检查可以明确急性胃肠炎患者是否伴有ST-T段改变及心律失常情况,对于年龄≥40岁且合并中重度脱水的患者,应采取24h动态心电图监测进行临床监护。

To study and analyse the clinical manifestation and electrocardiogram (ECG)findings of acute gastroenteritis(AG),44 cases of AG treated in author's hospital(2016-06-2017-10)were enrolled into this study,received routine ECG and 24hdynamic ECG inspection,whose ST-T segment change and arrhythmia findings were compared and patients'clinical manifestations were analysed.As results,the positivity rate of ST-T segment changes,ventricular premature beat,and atrial premature inspected by routine ECG were respectively 6.8%,13.6% and 22.7%;meanwhile by dynamic ECG,responsibly 22.7%,31.8% and 43.2% which were higher than routine ECG inspection(P <0.05);in the patients(age<40 yr.)the ratio of ST-T segment change,ventricular premature beat,atrial premature and mid-and severe dehydration were respectively 20.0%,28.6%,31.6% and 33.3%,meanwhile in the patients(≥40 yr.)responsibly 80.0%, 71.4%,68.4% and 66.7%,which were higher than the patients(<40 yr.),there was statistical difference between them(P <0.05).Results show that ECG inspection can confirm with or without ST-T segment change and arrhythmia in AG patients,for the AG patients(age≥40 yr.)with mid-and severe dehydraton, it should be to take clinical monitor through 24h dynamic ECG inspection.