摘要
目的探讨心率变异性（ＨＲＶ）对妊娠合并器质性心脏病患者发生心功能衰竭的预测价值。方法对６１例妊娠合并器质性心脏病患者，分别于妊娠２８～３２周及分娩后７天进行动态心电图及心率变异性的测定。结果９例患者发生心功能衰竭，以未发生心功能衰竭者作为对照进行比较，发现心功能衰竭患者心率变异性时域指标明显下降，差异有显著性（Ｐ＜０．０５）。分娩后７天，当心功能衰竭患者一般状况得到改善后，心率变异性标准差均值、平均Ｒ－Ｒ间期标准差之标准差值上升（Ｐ＜０．０５）。结论心率变异性对判断心脏储备力。
Objective To explore the prognostic value of heart rate variety (HRV) on congestive heart failure (CHF) of pregnant women complicated with organic heart disease. Method One hour ambulatary electrocardiography was performed in 61 pregnant women complicated with organic heart dieases at about the 28th～32th week in gestational period and 7 days after delivery respectively. Result 9 patients occured CHF later, their HRV time domain index were significantly decreased (P<0.001, P<0.05), compared with patients without CHF as control group. 7 days after delivery, When the condition of CHF patients was improved. Their SD, SD SD value increased. Conclusion HRV has some value of assessing the cardiac reserve and predicting the happen of Congestive Heart Failure in pregnant women complicated with organic heart disease.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1998年第8期466-468,共3页
Chinese Journal of Obstetrics and Gynecology
关键词
妊娠合并症
心血管病
心率变异性
Heart rate Pregnancy complications, cardiovascular Heart faiture, congestive Autonomic nervous system
