刘纪美

【摘要】目的：探討高龄孕产妇异常心电图和心律失常发病情况及其对妊娠结局的影响。方法：研究对象选取2021年1月—2022年12月在我院内进行检测的妊娠晚期高龄孕产妇130例为观察组，选择同期在本院检查的妊娠晚期适龄孕产妇130例为对照组，比较两组异常心电图，心律失常发病情况及妊娠结局。并观察高龄孕产妇异常心电图情况和心律失常类型，以是否发生心电图异常及心律失常对高龄孕产妇进行分组，比较组间妊娠结局的差异。结果：检查后，观察组患者异常心电图、心律失常及各项不良妊娠结局发生率高于对照组（P<0.05）；异常心电图孕妇各项不良妊娠结局发生率高于正常心电图孕妇（P<0.05）；心律失常产妇各项不良妊娠结局发生率高于非心律失常产妇（P<0.05）。结论：高龄孕产妇在妊娠期极易出现异常心电图，心律失常以及不良妊娠结局现象，需要对高龄孕产妇增加心电图检测次数，以便及时发现问题，提前采取有效措施进行干预，改善妊娠结局。

【关键词】高龄；孕产妇；异常心电图；心律失常发病情况；妊娠结局；十五导联心电图

The incidence of abnormal electrocardiogram and arrhythmia in elderly pregnant women and its impact on pregnancy outcomes

LIU Jimei

Maternal and Child Health Hospital of Huadu District， Guangzhou （Huzhong Hospital）， Guangzhou， Guangdong 510800， China

【Abstract】Objective：To explore the incidence of abnormal electrocardiogram and arrhythmia in elderly pregnant women and its impact on pregnancy outcomes. Methods： The study subjects selected 130 elderly pregnant women in late pregnancy who underwent testing in our hospital from January 2021 to December 2022 as the observation group， and 130 eligible pregnant women in late pregnancy who underwent testing in our hospital during the same period as the control group. The abnormal electrocardiogram， incidence of arrhythmia， and pregnancy outcomes were compared between the two groups. And observe the abnormal electrocardiogram （ECG） and types of arrhythmia in elderly pregnant women， and group them based on whether there are ECG abnormalities and arrhythmia， and compare the differences in pregnancy outcomes between groups. Results： After examination， the incidence of abnormal electrocardiogram， arrhythmia， and various adverse pregnancy outcomes in the observation group was higher than that in the control group （P<0.05）； The incidence of adverse pregnancy outcomes in pregnant women with abnormal electrocardiogram was higher than that in pregnant women with normal electrocardiogram （P<0.05）； The incidence of adverse pregnancy outcomes in pregnant women with arrhythmia was higher than that in non arrhythmia pregnant women （P<0.05）. Conclusion：In gestation abnormal ecg， appear easily - maternal cardiac arrhythmia and adverse pregnancy outcomes， need for elderly increased maternal ecg testing number， in order to find problems in time， to take effective measures to intervene in advance， improve the pregnancy outcome.

【Key Words】Advanced age； Pregnant and parturient women； Abnormal electrocardiogram； The incidence of arrhythmia； Pregnancy outcome； Fifteen lead electrocardiogram

高龄孕妇主要是指产妇分娩时年龄不低于35岁的产妇，妊娠期女性与非妊娠期女性相比较代谢能力较强，但心脏代偿功能较弱，此外体内激素以及不同物质循环具有差别[1]。随着孕妇孕周时期增加，差异会更加明显，研究表明，高龄产妇出现围产期胎儿流产、早产以及死亡等不良妊娠结局概率显著高于适龄期女性[2-3]。随妊娠期进展，孕妇会在心电图检测时出现异常心电图现象[4]。因此，本研究以妊娠晚期高龄孕产妇130例作为对象，探讨高龄孕产妇异常心电图和心律失常发病情况及其对妊娠结局的影响观察，为高龄产妇孕期管理提供理论数据，便于提前做好防治工作，降低后期不良妊娠结局发生情况。报道如下。

1 资料与方法

1.1 一般资料