摘要
目的 观察山东省山东大学非克山病病区城市居民心电图，为健康评价及克山病防控提供基础依据。方法 收集2014年7月至2015年6月在山东慈铭体检中心体检的山东大学居民心电图检查结果，回顾性分析居民心脏健康状况，并按不同性别和年龄分组进行统计分析。心电图诊断依据《简明小儿心电图学》和《临床心电图学》。结果 共描记心电图31 753份，其中男性18 664份，占58.8%；女性13 089份，占41.2%。年龄为6 ~ 78岁，其中6 ~ 20岁304人、21 ~ 40岁18 861人、41 ~ 60 岁10 451人、 61 ~ 78岁2 137人。检出正常心电图27 699份，检出率为87.2%；异常心电图4 054份，检出率为12.8%。异常心电图中男性2 212份、女性1 842份，检出率分别为11.9%（2 212／18 664）和14.1%（1 842／13 089），女性检出率显著高于男性（χ2 = 34.082，P 〈 0.01）。房室肥大、心肌损伤等异常心电图中ST-T改变的检出率最高，为316.5／万（1 005／31 753），男、女检出率分别为273.3／万（510／18 664）、378.2／万（495／13 089）。心律失常检出率为4.8%（1 523／31 753），其中男性1 023份、女性500份，检出率分别为548.1／万（1 023／18 664）、382.0／万（500／13 089）。心律失常中检出率较高的依次为Ⅰ度房室阻滞（155.3／万，493／31 753）、完全性右束支阻滞（81.6／万，259／31 753）、室性早搏（79.0／万，251/31 753）和房性早搏（48.2／万，153／31 753）。结论 山东大学城市居民女性异常心电图检出率高于男性，最常见的异常心电图为ST-T改变，心律失常检出率较低。
Objective To observe the electrocardiogram （ECG） of urban residents in non-endemic areas of Keshan disease in Ji＇nan City, Shandong Province, and to provide scientific basis for health evaluation and prevention and control of Keshan disease. Methods From July 2014 to June 2015, ECGs of residents undertaken healthy examination in Shandong Ciming Physical Examination Center were collected, retrospective analysis was used to analyze residents＇ heart health. Statistical analysis was conducted according to sex and age groups, and the diagnosis of ECG was based on ＂Concise Pediatric Electrocardiogram＂ and ＂Clinical Electrocardiography＂. Results Totally 31 753 ECGs were recorded, including 18 664 males accounting for 58.8% and 13 089 females accounting for 41.2%, who were aged 6 - 78 years old, including 304 people 6 - 20 years old, 18 861 people 21 - 40 years old, 10 451 people 41 - 60 years old, and 2 137 people 61 - 78 years old. Totally 27 699 normal ECG （87.2%） and 4 054 abnormal ECG （12.8%） were detected, there were 2 212 males and 1 842 females in the abnormal ECG, the detection rates were 11.9% （2 212/18 664） and 14.1% （1 842/13 089） for males and females, respectively. The detection rate of female was significantly higher than that of male （χ2 = 34.082, P 〈 0.01）. The detection rate of ST-T change in abnormal ECG was the highest, which was 316.5/10 000 （1 005/31 753）, men and women were 273.3/10 000 （510/18 664） and 378.2/10 000 （495/13 089）, respectively. The detection rate of arrhythmia was 4.8% （1 523/31 753）, including 1 023 males and 500 females, and their detection rate of arrhythmia was 548.1/10 000 （1 023/18 664） and 382.0/10 000 （500/13 089）, respectively. In arrhythmia, degree Ⅰ atrioventricular block （155.3/10 000, 493/31 753）, complete rightbundle branch block （81.6/10 000, 259/31 753）, ventricular premature beats （79.0/10 000, 251/31 753）, and atrial premature beats （48.2/10 000, 153/31 753） had higher detection rates. Conclusion The detection rate of women of urban residents in Ji＇nan is higher than that of men, the most common abnormal ECG is ST-T change, and the detection rate of arrhythmia is low.
出处
《中华地方病学杂志》
CSCD
北大核心
2017年第6期440-443,共4页
Chinese Journal of Endemiology
基金
国家自然科学基金（30872192）
关键词
克山病
心电图
检出率
Keshan disease
Electrocardiogram
Detection rate
