摘要
目的探讨脑卒中患者的心电图变化的影响因素。方法对165例脑卒中患者进行分析。均在入院24 h内完成心电图检查,以后每周定期复查心电图。结果心电图异常率为102例(61.8%),其中按脑卒中性质统计:脑出血组>蛛网膜下腔出血组>脑梗塞组;按病变部位统计:脑干,丘脑、基底节组>内囊、大脑皮质、脑叶组;按意识状态统计:昏迷或嗜睡组>清醒组;按血糖水平统计:高血糖组>血糖正常组;按疾病转归统计:死亡组>好转组。结论脑卒中异常心电图与脑卒中性质、部位、意识状态、血糖水平、疾病转归有关。
Objective To study the influencing factors of electrocardiogram （ECG） in patients with stroke. Methods One hundred and sixty five patients with stroke were studied. ECG was analyzed in 24 hours ＇after patients were admitted to hospital and checked weekly. Results ECG abnormalities were observed in 102 eases （61. 8% ）. Among them, more ECG abnormal cases were found in cerebral hemorrhage and subarachnoid hemorrhage group than cerebral infarction group according to the character of the stroke. More ECG abnornlal cases were also found in the brainstem, thalamus and basal ganglion group than in the internal capsule, cerebral cortex and cerebral lobe group according to the location of pathological changes occurred; in consciousness disturbance group （ coma or sleepiness） than group with consciousness according to consciousness; and in the group with hyperglycemia than the group with normal blood glucose according to the blood glueose, In addition, more ECG abnormal cases were found in the group of death than the group with improvement according to the prognosis. Conclusion The abnormal ratio of ECG in patients with stroke is related to the character of the stroke, the location of pathological changes, and consciousness status, level of blood glucose and prognosis of the patients.
出处
《临床和实验医学杂志》
2006年第11期1687-1688,共2页
Journal of Clinical and Experimental Medicine
关键词
脑卒中
心电图
Brain - heart syndrome
Electrocardiogram
