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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2015年6期

页码:

654-657

栏目:

论　著

出版日期:

2015-12-27

文章信息/Info

Title:

Electrocardiogram analysis in 855 hypertensive patients

作者:

李观荣¹;  易董¹; 李敏²; 凌华锋¹; 李宇明¹

1.广东省吴川市人民医院，广东吴川524500；2.广东省职业病防治院，广州510300

Author(s):

LI Guan-rong*;  YI Dong;  LI Min;  LING Hua-feng;  LI Yu-ming

The people's Hospital of Wuchuan,Wuchuan,Guangdong 524500 China Corresponding author: LI Min, E-mail: LI min-0713@163.com

关键词:

高血压; 心电图; 异常发生率

Keywords:

Hypertension;  Electrocardiogram (ECG);  The abnormal rate

分类号:

R541.3

DOI:

-

摘要:

目的分析高血压患者血压与心电图变化规律，为高血压伴心脏损害的患者提供心电图诊断的依据及 临床相关信息。方法对855 例高血压和878 例正常血压的体检者进行心电图检查。将高血压人群按血压值 分为高血压1 级、高血压2 级、高血压3 级。比较高血压组与血压正常组心电图异常率；比较1 级、2 级、3 级高 血压者心电图异常率；比较高血压组人员年龄、性别与心电图异常关系。计数资料用率或构成比的比较采用χ2 检验，均数比较采用t 检验，P＜0.05 为差异有统计学意义。结果高血压组心电图异常率30.53%，正常血压组 心电图异常率为17.88%，两组差异有统计学意义（χ2=183.16,P＜0.01）；高血压组男女性别心电图异常率分别 为52.35%、29.87%，两者比较差异有统计学意义（χ2=26.14,P＜0.01）；高血压组30 岁以上年龄段，随着年龄增 长心电图异常率增高, 差异有统计学意义（χ2=14.69,P＜0.01）；另外,高血压组心电图异常也随着高血压级别 增高而递增，但差异无统计学意义（χ2=0.43, P＞0.05）。结论高血压患者心电图异常率较高，高血压者定期 进行心电图检查，对早期发现各种心脏疾患有重要意义。

Abstract:

Objective To investigate the relationship between blood pressure and electrocardiogram (ECG) changes in hypertensive patients and shed light on the cardiac injury accompanying hypertension from the perspective of ECG. Methods 855 patients with hypertension and 878 healthy subjects during routine physical examination were tested for blood pressure and ECG. The 855 cases with hypertension were divided into Hypertension grade 1 (1 grade), 2 (2 grade), and 3 (3 grade). Statistical analysis were performed to analyzed the abnormality rate of ECG in the hypertensive and the healthy group, the abnormal rate of ECG in 1, 2 and 3 grade hypertension and the relationship of the abnormal rate of ECG with age and gender. For comparison of rate or composition ratio, chi-square test was used. For comparison of means, t-test was used. Results The abnormality rate of ECG in hypertension group was 48.30%, and the abnormality rate of ECG in healthygroup was 17.88%. The difference between the two rates was significant (χ2=183.16,P＜0.01). The difference of ECG abnormality rates of men and women within the hypertension group was also statistically significant (χ2=26.14,P＜0.01). For the hypertension group withages of over 30, the ECG abnormality rateincreases with an increase of age. The increase of ECG abnormality among patients with different ages was statistically significant(χ2=14.69,P＜0.01). In addition, ECG abnormality rate increases with the increase of hypertension grade. However, there was no statistically significant difference for the increase of rates (χ2=0.43, P＞0.05）. Conclusions With the increase of blood pressure, ECG abnormal rate is higher in hypertension group. This suggests that regular ECG examinations are of great importance for detecting heart injuryin early stage among the patients with hypertension.

参考文献/References:

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备注/Memo

备注/Memo:

作者简介：李观荣,大学本科，主治医师，研究方向：主要从事内科疾病的防治 通信作者：李敏，E-mail:limin-0713@126.com

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更新日期/Last Update: 2015-12-27