心电图检查在重度子痫患者中的应用效果

Effect of Electrocardiogram Examination in Patients with Severe Eclampsia

目的:探析心电图检查在重度子痫患者中的应用效果。方法:选取2020年3月至2021年3月期间于景德镇市妇幼保健院诊治的60例重度子痫患者作为观察组,同期选取景德镇市妇幼保健院60例健康孕妇作为对照组。两组研究对象均给予心电图检查,比较两组入组前的心电图异常检出率(室性心动过速、窦性心律不齐、室性期前收缩、T波改变、低电压、Q–T间期延长、房性期前收缩、短P–R间期、电轴左偏),并根据心电图结果,给予观察组解痉、镇静等治疗,后比较两组入组1周后的心电图异常检出率,以及分娩后的不良母婴结局发生率(胎盘早剥、产后出血、新生儿窒息、早产、剖宫产)。结果:入组前,观察组患者心电图异常检出率高于对照组,差异具有统计学意义(P<0.05);入组1周后,两组的心电图异常检出率比较,差异无统计学意义(P>0.05);两组研究对象的不良母婴结局发生率比较,差异无统计学意义(P>0.05)。结论:通过心电图持续性监测,能及时了解重度子痫患者的心电图异常改变,并予以针对性治疗,有效降低患者的血压、心率,纠正心电图异常,改善妊娠结局。

Objective To explore the application effect of electrocardiogram CE(G)examination in patients with severe eclampsia.Methods A total of 60 patients with severe eclampsia treated in Jingdezhen Maternal and Child Health Hospital from March 2020 to March 2021 were selected as the observation group,and 60 healthy pregnant women in Jingdezhen Maternal and Child Health Hospital were selected as the control group.The subjects of the two groups were given ECG examination,and the detection rates of electrocardiogram abnormalities(ventricular tachycardia,sinus arrhythmia,ventricular extrasystole,T wave change,low voltage,prolonged Q-T interval,atrial extrasystole,short P-R interval and left deviation of electrical axis)before the two groups were compared,according to the electrocardiogram results,the observation group was given spasmolysis,sedation and other treatment,and then the detection rate of abnormal electrocardiogram in the two groups after 1 week,as well as the incidence of adverse maternal and infant outcomes after delivery(placental abruption,postpartum hemorrhage,neonatal asphyxia,premature delivery,cesarean section)were compared.Results Before entering the group,the abnormal detection rate of electrocardiogram in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05);One week after entering the group,there was no significant difference in the detection rate of electrocardiogram abnormalities between the two groups(P>0.05);There was no significant difference in the incidence of adverse maternal and infant outcomes between the two groups(P>0.05).Conclusion Through the continuous monitoring of electrocardiogram,the abnormal changes of electrocardiogram in patients with severe eclampsia can be timely understood,and targeted treatment can be given to effectively reduce blood pressure and heart rate of patients,correct abnormal electrocardiogram,and improve pregnancy outcomes.