摘要
目的:分析心电图ST⁃T改变对妊娠中晚期心力衰竭孕妇的预测价值。方法选取2017年1—12月前往深圳市龙华区人民医院进行产检并被检出的20例妊娠中晚期心力衰竭孕妇作为心力衰竭组,另选同期90例正常妊娠中晚期孕妇作为正常组,对两组心电图ST⁃T进行比较,分析心电图ST⁃T改变对心力衰竭的预测价值。结果心力衰竭组Ⅱ、Ⅲ、avF导联ST段水平型及下斜型下移超过0.10 mV占比、V4⁃V6导联ST段水平型及下斜型下移超过0.05 mV占比分别为65.00%、35.00%,均高于正常组的2.22%、3.33%(P<0.05)。心力衰竭组Tp⁃Te间期、Tp⁃Te/水平分别为(102.38±1.28)ms、(3.74±0.26),均高于正常组的(82.85±1.25)ms、(2.59±0.31)(P<0.05)。结论妊娠中晚期心力衰竭孕妇心电图ST⁃T存在着明显的异常改变,通过对ST段下移程度进行观察有助于及早发现和治疗心力衰竭。
Objective To analyze the predictive value of ST⁃T changes in electrocardiogram(ECG)in pregnant women with heart failure in the middle and late pregnancy.Methods Twenty cases of pregnant women with heart failure in middle and late pregnan⁃cy who had been examined in The People’s Hospital of Longhua District from January 2017 to December 2017 were selected as the heart failure group,and other 90 cases of normal pregnant women in the middle and late stages of pregnancy in the same period were selected as the normal group.Then,the ECG ST⁃T of two groups were compared,and the predictive value of ECG ST⁃T chang⁃es on heart failure were analyzed.Results The proportion of horizontal and downward inclined ST⁃segment downshifts exceeding 0.1 mV in leadⅡ,Ⅲand avF,and the proportion of horizontal and downward inclined ST⁃segment downshifts exceeding 0.05 mV in lead V4⁃V6 in the heart failure group were 65.00%and 35.00%,which were higher than those in the normal group(2.22%and 3.33%),and the difference was significant(P<0.05).The levels of T⁃wave end⁃to⁃end interval were compared between the two groups in the middle and late pregnancy,the heart failure group were(102.38±1.28)ms and(3.74±0.26),which were higher than the normal group[(82.85±1.25)ms and(2.59±0.31)],and the difference was statistically significant(P<0.05).Conclusion There are significant abnormal change in ECG ST⁃T in pregnant women with heart failure in the middle and late pregnancy,which it is helpful to detect and treat heart failure early by observing the degree of ST segment down.
作者
张亚杰
郑云燕
ZHANG Yajie;ZHENG Yunyan(Department of Cardiac Function,The People’s Hospital of Longhua District,Shenzhen,Guangdong 518000,China;Department of Internal Medicine-Cardiovascular,The People’s Hospital of Longhua District,Shenzhen,Guangdong 518000,China)
出处
《安徽医药》
CAS
2020年第12期2516-2519,共4页
Anhui Medical and Pharmaceutical Journal
关键词
妊娠并发症
心力衰竭
妊娠中期
妊娠末期
心电描记术
ST⁃T改变
预后
Pregnancy complications
Heart failure
Pregnancy trimester,second
Pregnancy trimester,third
Electrocardi⁃ography
ST⁃T changes
Prognosis
