急性脑梗死患者心电图特征与病情分型及其预后状况的关系

The Relationship Between Electrocardiogram Characteristics and Disease Classification, Prognosis for Patients with Acute Cerebral Infarction

为探讨急性脑梗死患者心电图特征与病情分型及其预后状况的关系,选择2016年1月~2019年6月期间本院神经内科住院部收治的急性脑梗死患者110例作为研究对象,全部患者采用心电图检查。急性脑梗死患者心电图异常率为72.73%,其中缺血性ST-T改变占45.00%,窦性心动过速和室性早搏各占11.25%,心房颤动占7.50%,房性早搏和左心室肥厚各占6.25%。轻型组心电图异常率为52.63%,明显低于中型组的82.22%和重型组的85.19%,比较差异具有统计学意义(P<0.05)。大梗死灶组、小梗死灶组心电图异常率分别为88.89%和79.41%,明显高于腔隙性脑梗死组的41.94%,比较差异具有统计学意义(P<0.05)。心电图异常组死亡率明显高于心电图正常组,比较差异具有统计学意义(P<0.05)。提示急性脑梗死患者心电图异常主要表现为缺血性ST-T改变、窦性心动过速、室性早搏、心房颤动、房性早搏和左心室肥厚等,其异常率对病情分型及其预后状况具有重要的评估价值。

To explore the relationship between ECG characteristics and disease classification and prognosis for patients with acute cerebral infarction,110 patients with acute cerebral infarction admitted to neurology department of our hospital from January 2016 to June 2019 were selected as research objects.All patients were given electrocardiogram examination.The abnormal rate of ECG was 72.73%,including ischemic ST-T changes(45.00%),sinus tachycardia(11.25%),ventricular premature beats(11.25%),atrial fibrillation(7.50%),atrial premature beats(6.25%)and left ventricular hypertrophy(6.25%).The abnormal rate of ECG in the slight-group was significantly lower than those in the medium-group and the severe-group(P<0.05).The abnormal rate of ECG in the large and the small infarction groups were significantly higher than those of the lacunar cerebral infarction group(P<0.05).The mortality rate of abnormal ECG group was significantly higher than that of normal ECG group(P<0.05).In conclusion,ECG abnormalities in patients with acute cerebral infarction are mainly manifested as ischemic ST-T changes,sinus tachycardia,ventricular premature beats,atrial fibrillation,atrial premature beats and left ventricular hypertrophy,and the abnormal rate has important evaluating value for disease classification and prognosis.