摘要
目的 探讨分析心电图心率变异性对小儿肺炎并心肌损害的疗效。方法 选取2022年1月—2023年1月本院收治的62例小儿肺炎并心肌损害患者为研究对象并作为观察组,同时选取62例单纯小儿肺炎支原体感染患者作为对照组,观察分析两组心率变异性参数以及观察组患儿治疗前、后心率变异性参数等情况。结果 观察组患者LF/HF与HR和对照组患儿相比明显较高,数据对比差异有统计学意义(P<0.05),rMSSD和对照组患儿数据相比较低(P<0.05)。观察组患儿接受治疗后,其HF/HR和治疗前相比明显较低,前后数据对比差异有统计学意义(P<0.05);rMSSD和治疗前相比升高明显,数据对比差异有统计学意义(P<0.05)。观察组患儿CK为(515.51±110.43)U/L,CK-MB为(33.79±8.14)U/L,AST为(60.43±17.72)U/L,LDH为(330.79±101.43)U/L。分析观察组患儿心肌酶与心率变异性参数得知:LDH、AST、CK、CK-MB与rMSSD呈负相关(r=0.315、-0.312与0.323,P<0.05);LDH、AST、CK、CK-MB与LF/HF呈正相关(r=0.346、0.402、0.383与0.364,P<0.05)。结论 小儿肺炎并心肌损害能直接损害患儿心脏自主神经功能。所以,患儿心肌损害、临床治疗效果与心率变异性联系紧密,需要观察心电图心率变异性指标为临床诊治提供参考,确保患儿生命健康安全。
Objective To explore and analyze curative effect of electrocardiogram heart rate variability on pediatric pneumonia with myocardial damage.Methods The paper chose 62 cases of pediatric pneumonia with myocardial damage admitted to our hospital from January 2022 to January 2023 as study subjects in observation group.At the same time,it chose 62 cases of simple pediatric pneumonia with mycoplasma infection in control group.Heart rate variability parameters between two groups and heart rate variability parameters in observation group before and after treatment were observed and analyzed.Results LF/HF and HR of observation group was significantly higher than control groups,and data comparison was significant(P<0.05).The rMSSD was lower than control group,(P<0.05).After treatment,HF/HR of observation group was significantly lower than before treatment,data comparison before and after treatment was significant(P<0.05).rMSSD increased more significantly than before treatment,data comparison was significant(P<0.05).CK of observation group was(515.51±110.43) U/L,CK-MB was(33.79±8.14) U/L,AST was(60.43±17.72) U/L,LDH was(330.79±101.43) U/L.Analysis of myocardial enzyme and heart rate variability parameters of observation group children showed,LDH,AST,CK,CKMB was negatively correlated with rMSSD(r=0.315,-0.312 and 0.323,P<0.05).LDH,AST,CK,CK-MB was positively correlated with LF/HF(r=0.346,0.402,0.383,and 0.364,P<0.05).Conclusion Pediatric pneumonia with myocardial damage can damage cardiac autonomic nervous system function of children directly.Therefore,myocardial damage,clinical treatment effect,and heart rate variability is closely related.It is necessary to observe electrocardiogram heart rate variability indicators to provide reference for clinical diagnosis and treatment,and ensure safety and health of children.
作者
王军
WANG Jun(Nantong City Maternal and Child Health Hospital,Nantong,Jiangsu 226001)
出处
《智慧健康》
2024年第5期40-43,共4页
Smart Healthcare
关键词
小儿肺炎
心肌损害
心电图
心率变异
疗效
Pediatric pneumonia
Myocardial damage
Electrocardiogram
Heart rate variability
Curative effect
