摘要
目的探讨急性脑卒中并发脑心综合征的发生机制及防治措施。方法结合临床资料对226例急性脑卒中患者心电图及心肌酶谱进行回顾性分析。结果脑心综合征发病率为26.5%,出血性脑卒中发病率明显高于缺血性脑卒中(P<0.01);脑心综合征的心电图改变主要表现为ST-T改变、各种心律失常和心肌梗死。合并脑心综合征的脑卒中患者病死率为48.3%,明显高于同期未合并脑心综合征的脑卒中患者(7.2%,P<0.01)。结论急性脑卒中脑心综合征的发生可能与脑卒中类型有关,机制可能与脑卒中直接或间接导致植物神经中枢功能失调、神经体液功能紊乱等有关。
Objective To investigate the cause and prevention of cerebral-cardiac syndrome in acute stroke. Methods Combined with clinical data, the electrocardiogram（ECG）and myocardic enzyme of 226 patients in acute stroke were analyzed respectively. Results The morbidity rate of cerebral-cardiac syndrome was 26.5%,which in hemorrhagic stroke was significantly higher than ischemic stroke. The mortality rate of stroke with cerebral-cardiac syndrome was 48.3% which was significantly higher than stroke without it（7.2%）. Conclusion The appearance of cerebral-cardiac syndrome in acute stroke may related to the types of it. The probable mechanism may related to the dysfunction of autonomic nervous central leading by stroke directly or indirectly,or dysfunction of neurocrine.
出处
《中国实用神经疾病杂志》
2009年第13期12-14,共3页
Chinese Journal of Practical Nervous Diseases
关键词
急性脑卒中
脑心综合征
心电图
Acute stroke
Cerebral-cardiac syndrome
Electrocardiogram（ECG）
