摘要
目的:观察非典型T波"帐篷样"改变对慢性肾病高钾血症患者的诊断价值分析。方法:搜集2018年1月1日-2019年12月31日来笔者所在医院就诊的慢性肾病患者的体表静息心电图,将T波波峰变尖,基底部变窄或双支对称,振幅小于0.8 mV(非典型"帐篷样"T波改变)患者50例设为观察组,将同期无此体表心电图改变的慢性肾病患者55例设为对照组。对比两组血钾浓度、高钾血症的发生率。结果:试验组患者血钾浓度明显高于对照组,且试验组患者高钾血症发生率(68.00%)明显高于对照组的7.27%,差异有统计学意义(P<0.05)。结论:体表心电图出现波峰变尖、基底部变窄或双支对称,振幅<0.8 mV的非典型"帐篷样"T波改变,对CKD高钾血症有较好的预测价值。
Objective:To observe the diagnostic value of atypical T wave“tent-like”changes in patients with chronic renal disease and hyperkalemia.Method:Collected the resting surface electrocardiogram of chronic kidney disease patients who came to our hospital from January 1,2018 to December 31,2019,50 patients with sharpen the T wave peak,narrow the base or double the symmetry,and the amplitude was less than 0.8 mV(atypical“tent-like”T wave changes)were set as the observation group,55 patients with chronic kidney disease without this surface electrocardiogram change during the same period were set as the control group.Compared the blood potassium concentration,the incidence of hyperkalemia of the two groups.Result:The blood potassium concentration in the experimental group was significantly higher than that in the control group,and the incidence of hyperkalemia in the experimental group was 68.00%,significantly higher than 7.27%in the control group,the differences were statistically significant(P<0.05).Conclusion:The surface electrocardiogram,the peak of the peak becomes sharp,the base of the base narrows,or the two branches are symmetrical,and the amplitude is<0.8 mV atypical“tent-like”T wave change has a good predictive value for CKD hyperkalemia.
作者
王婷
冯应君
谭景
WANG Ting;FENG Yingjun;TAN Jing(North Guangdong People’s Hospital,Shaoguan 512026,China;不详)
出处
《中外医学研究》
2021年第21期59-61,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2020年韶关市卫生健康科研项目(Y20205)。
