急性脑血管病心电图分析及临床意义研究

Electrocardiogram Analysis and Clinical Significance of Acute Cerebrovascular Disease

摘要: 目的：探究急性脑血管病的心电图特点及其在临床中的作用。方法：选择2015.08~2017.08期间于我院治疗的100例急性脑血管病患者作为研究对象，将其设为本研究的试验组(研究组)；选择同期于我院进行健康体检的100例非脑血管病受检者，设其为对照组。对所有的研究对象进行心电图检查，并对比二者在检查结果上的不同。结果：与对照组比较，研究组的动态心电图异常检出率明显增高；研究组与对照组相比，SDNN、rMSSD及SDANN等心率变异性时域指标均降低，且差异有统计学意义(P < 0.05)。结论：急性脑血管病患者的心电图资料与患者病情密切相关，病情越重，心电图异常改变越多，其对临床上治疗预防脑血管病提供有效的参考依据。

Abstract: Objective: To explore the clinical significance of electrocardiogram in patients with acute cere-brovascular disease. Methods: 100 cases selected from August 2015 to August 2017 period in our hospital for treatment of acute cerebrovascular disease patients, 100 cases of non acute cerebro-vascular disease in our hospital were selected from health examination subjects Both the cases and controls were examined by dynamic electrocardiogram; 3 time domain indexes of heart rate variability (SDNN, rMSSD and SDANN) were analyzed and compared by Chi square test or t test. Results: The rate of dynamic electrocardiogram normality in the cases was higher than that of the controls. Compared with the controls, SDNN, rMSSD and SDANN in the cases were lower, all the difference was statistically significant (P < 0.05). Conclusion: Acute cerebrovascular can lead to cerebral cardiac syndrome, arrhythmia, ventricular tachycardia, atrial fibrillation and other symptoms, which can be easily detected by dynamic electrocardiogram and can provide effective reference for treatment and prevention of cerebrovascular disease.