原发性高血压合并急性脑卒中患者心电图的改变临床分析

Clinical analysis of changes of electrocardiogram in patients with essential hypertension complicated with acute stroke

目的分析原发性高血压合并急性脑卒中患者心电图改变的临床特点。方法搜集2015-03—2016-02原发性高血压患者156例,依据其是否合并急性脑卒中分为脑卒中组80例和对照组76例,2组患者均进行心电图检查,分析心电图异常检出率情况。结果脑卒中组心电图异常率(81.3%)高于对照组(52.6%),且不同心电图异常类型高于对照组(P<0.05)。80例高血压合并脑卒中患者中,不同类型、不同部位、不同预后脑卒中患者,其异常心电图检出率差异有统计学意义(P<0.05)。结论原发性高血压并发急性脑卒中患者中具有较高的心电图异常率,心电图异常率与脑卒中的类型及部位有关,且能够预测患者的预后。

Objective To analyze the clinical features of ECG changes in patients with essential hypertension and acute stroke. Methods A total of 156 patients with essential hypertension from March 2015 to February 2016 were enrolled.According to whether they had acute stroke,80 patients were divided into stroke group and 76 patients in control group.Both groups underwent electrocardiogram examination and analyzed abnormal electrocardiogram. Results The abnormal rate of electrocardiogram in the stroke group (81.3%) was higher than that in the control group (52.6%),and the abnormal type of ECG was higher than that in the control group ( P <0.05).Among the 80 patients with hypertension and stroke,the abnormal electrocardiogram detection rate of patients with different types,different parts and different prognosis strokes was statistically significant ( P <0.05). Conclusion There is a high rate of abnormal ECG in patients with acute hypertension complicated with acute stroke.The abnormal rate of ECG is related to the type and location of stroke,and can predict the prognosis of patients.