体检人群心电图异常情况及其影响因素

Abnormal Situation of Electrocardiogram in Physical Examination Population and Its Influencing Factors

目的:分析体检人群心电图异常情况及其影响因素。方法:选择深圳市保健委员会办公室2019年1-12月的健康体检者11 604例,分析异常心电图情况及其相关影响因素。结果:11 604例体检者中,发现心电图异常3 750例(32.32%),其中男2 700例、女1 050例。随着年龄的增加,心电图异常的检出率越来越高。其中61~70、71~80与>80岁异常检出率均高于30~40、41~50、51~60岁(P<0.05)。心电图ST-T异常改变例数占心电图异常总例数的61.09%(2 291例),发生率最高;其次为窦性心律不齐、室性早搏、完全性或不完全右束支传导阻滞、心房颤动、其他,分别占5.81%(218例)、5.44%(204例)、4.85%(182例)、4.61%(173例)、18.19%(682例)。异常心电图体检者TG上升、TC上升、LDL-C上升、FBG上升、血压上升、脂肪肝检出率均高于正常心电图体检者(P<0.05)。Logistic回归分析结果显示年龄>60岁、TG、TC、LDL-C、FBG、血压及脂肪肝的异常均是体检人群心电图异常的危险因素(P<0.05)。结论:体检人群心电图异常人群中年龄>60岁比例较高,ST-T异常改变为最多,而年龄>60岁、TG上升、TC上升、LDL-C上升、FBG上升、血压上升、脂肪肝均是体检人群心电图异常的危险因素。

Objective:To analyze the abnormal situation of electrocardiogram (ECG) in physical examination population and its influencing factors.Method:A total of 11 604 health physical examination patients in Shenzhen Health Commission Office from January to December 2019 were selected,the abnormal electrocardiogram and its related factors were analyzed.Result:Among 11 604 subjects,3 750 cases (32.32%) were found to have abnormal ECG,including 2 700 males and 1 050 females.With the increase of age,the detection rate of abnormal electrocardiogram was higher and higher.The abnormal detection rates of 61-70 years old,71-80 years old and >80 years old were higher than those of 30-40 years old,41-50 years old and 51-60 years old (P<0.05).ST-T abnormalities accounted for 61.09% (2 291 cases) of total ECG abnormalities,with the highest incidence.Sinus arrhythmia,premature ventricular contractions,complete or incomplete right bundle branch block,atrial fibrillation and others were 5.81% (218 cases),5.44% (204 cases),4.85% (182 cases),4.61% (173 cases),18.19% (682 cases),respectively.The detection rates of increased TG,TC,LDL-C,FBG,blood pressure and fatty liver in abnormal ECG were higher than those in normal ECG (P<0.05).Logistic regression analysis showed that age >60 years old,abnormal TG,TC,LDL-C,FBG,blood pressure and fatty liver were risk factors for abnormal ECG (P<0.05).Conclusion:The proportion of age >60 years old is higher in the physical examination group and abnormal ECG group,and ST-T abnormal change is the most,while age >60 years old,increased TG,TC,LDL-C,FBG,blood pressure and fatty liver are all risk factors for abnormal electrocardiogram in the physical examination population.