王永青　孙承洪

【摘要】 目的 分析急性脑血管病患者的心电图异常特点。方法 142例急性脑血管病患者为研究对象， 采用惠普十二导联心电图， 在发病24 h～3周内常规或复查心电图， 分析心电图异常特点。结果 142例急性脑血管病患者共有105例心电图异常， 占总数的73.94%。男女患者间心电图异常率（75.51% VS 70.45%）比较， 差异无统计学意义（χ2=0.056， P>0.05）。脑出血与脑梗死疾病间心电图异常率比较， 差异无统计学意义（χ2=0.464， P>0.05）。脑出血与蛛网膜下腔出血疾病间心电图异常率比较， 差异无统计学意义（χ2=0.035， P>0.05）。脑梗死与蛛网膜下腔出血疾病间心电图异常率比较， 差异无统计学意义（χ2=0.002， P>0.05）。不同年龄间心电图异常率比较， 差异均无统计学意义（P>0.05）。急性脑血管疾病发生于脑干病变的患者心电图均异常。结论 心电图随整个病情波动而变化， 对临床观察治疗脑血管病患者的预后有一定帮助。

【关键词】 急性脑血管病；心电图

DOI：10.14163/j.cnki.11-5547/r.2017.21.011

Clinical analysis of 142 acute cerebrovascular disease patients with abnormal electrocardiogram WANG Yong-qing， SUN Cheng-hong. Shandong Province Jimo City North Hospital， Jimo 266200， China

【Abstract】 Objective To analyze the abnormal characteristics of electrocardiogram in acute cerebrovascular disease patients. Methods A total of 142 acute cerebrovascular disease patients as study subjects. HP 12-lead electrocardiogram was used for routine or re examination of electrocardiogram within 24 h～3 weeks， and the abnormal characteristics of electrocardiogram were analyzed. Results There were 105 cases of abnormal electrocardiogram in 142 acute cerebrovascular disease patients， accounting for 73.94%. There was no statistically significant difference in electrocardiogram abnormality rate between male and female patients （75.51% VS 70.45%） （χ2=0.056， P>0.05）. There was no statistically significant difference in electrocardiogram abnormality rate between cerebral hemorrhage and cerebral infarction （χ2=0.464， P>0.05）. There was no statistically significant difference in electrocardiogram abnormality rate between cerebral hemorrhage and subarachnoid hemorrhage （χ2=0.035， P>0.05）. There was no statistically significant difference in electrocardiogram abnormality rate between cerebral infarction and subarachnoid hemorrhage （χ2=0.002， P>0.05）. There was no statistically significant difference in electrocardiogram abnormality rate of different age groups （P>0.05）. The electrocardiogram was abnormal for patients with acute cerebrovascular diseases on brain stem. Conclusion Electrocardiogram changes with the entire disease fluctuations， and it has certain help for the prognosis of patients with cerebrovascular disease.

【Key words】 Acute cerebrovascular disease； Electrocardiogram

急性腦血管病是临床常见的一种内科急症， 且脑血管病发病率增高趋势明显， 严重威胁着人民群众的身体健康。急性脑血管病患者常出现心脏损害， 表现为S-T改变、心律失常等， 心脏损害可加重脑部原发病变， 影响患者的预后， 故其心电图的异常改变逐渐受到临床工作者的重视， 现将本院近6年来收治的142例急性脑血管病患者的心电图异常作一临床分析， 现报告如下。

1 资料与方法

1. 1 一般资料 选取本院2011年1月～2017年1月以往无心脏病史， 并曾做过心电图均为正常的急性脑血管病患者142例， 所有病例均符合1995年全国第四届脑血管病学术会议制定的急性脑血管病诊断标准[1]， 并经CT或核磁共振成像（MRI）确诊。其中男98……