摘要
目的分析急性脑卒中患者动态心电图改变的特点。方法选取100例急性脑卒中患者,行24 h动态心电图监测,分析结果。结果 100例患者中,动态心电图异常率为82.0%,以ST-T异常、电压异常多见;脑干及丘脑部位卒中患者心律失常发生率高于其他部位(P<0.05),ST-T异常发生率低于其他部位(P<0.05);脑缺血患者心律失常发生率高于脑出血患者(P<0.05)。结论急性脑卒中患者动态心电图异常表现主要以ST-T异常、电压异常多见,卒中部位位于脑干及丘脑患者、脑缺血患者更易出现心律失常表现。
Objective To analyze dynamic electrocardiogram changes in acute brain stroke patients and its clinical signifi -cance.Methods One hundred cases of acute cerebral apoplexy patients undergoing 24 h dynamic electrocardiogram were selected and the results were analyzed.Results Among 100 patients,dynamic electrocardiogram abnormal rate was 82.0% with ST-T abnormal change and arrhythmia frequently registered .The occurrence rates of brainstem and thalamus arrhythmia were higher than that of the other sites （ P 〈0.05）,abnormal rate of ST-T was lower than that of the other parts （ P 〈0.05）,the abnormal rate of cerebral cardi -ac ischemia in patients with arrhythmias was significantly higher than that of patients with cerebral hemorrhage （ P 〈0.05）.Conclu-sion Abnormal electrocardiogram dynamic change of acute cerebral stroke patients is mainly manifested as ST -T abnormalities and ar-rhythmias frequently seen in the brainstem and thalamus and stroke and cerebral ischemia are more prone to cardiac arrhythmias .
出处
《白求恩医学杂志》
2014年第6期526-527,共2页
Journal of Bethune Medical Science
