|本期目录/Table of Contents|

[1]徐春红,沈丽萍.心电图QRS积分与ST段抬高型心肌梗死患者病变程度及预后的关系[J].慢性病学杂志,2019,20(10):1446-1449.
　XUChun-hong,SHENLi-ping.Relationship between QRS score and the severity and prognosis of ST-segment elevation myocardial infarction[J].,2019,20(10):1446-1449.
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心电图QRS积分与ST段抬高型心肌梗死患者病变程度及预后的关系

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
20
期数:
2019年10期
页码:
1446-1449
栏目:
论　著
出版日期:
2019-10-28

文章信息/Info

Title:
Relationship between QRS score and the severity and prognosis of ST-segment elevation myocardial infarction
作者:
徐春红; 沈丽萍
中山医院青浦分院心电图室，上海 201700
Author(s):
XUChun-hong; SHENLi-ping
QingpuBranch,AffiliatedZhongshanHospitalofFudanUniversity,Shanghai201700,China Correspondingauthor:SHENLi-ping,E-mail:qzf143@163.com
关键词:
ST段抬高型心肌梗死; QRS积分; 病变程度; 预后; 相关性分析
Keywords:
ST-segment elevation myocardial infarction;  QRS score;  Degree of lesion;  Prognosis;  Corre-lation analysis
分类号:
R542.22
DOI:
-
摘要:
目的 探讨心电图中QRS积分与ST段抬高型心肌梗死（STEMI）患者病变程度及预后的关系。方法 选择2016年1月—2018年12月在中山医院青浦分院进行治疗的97例既往心脑血管疾病患者，根据心电图QRS积 分分为：QRS积分≤3分组（51例）和QRS积分>3分组（46例）。观察并比较两组一般资料、心电图检查和血液 指标检查指标，比较两组患者随访6个月期间不良心血管事件发生率，分析QRS积分与患者临床诊断指标的相关 性。结果 QRS积分>3分组患者的冠脉病变支数、Gensini评分、0肌钙蛋白I（cTnI）、B型脑钠肽（BNP）、 D-二聚体（D-D）、肌酸激酶（CK-MB）等指标水平均高于QRS积分≤3分组，差异有统计学意义（P< 0.05）。QRS积分>3分组患者的心血管不良事件发生率为26.09%，高于QRS积分≤3分组的7.84%，差异有统计 学意义（P<0.05）。STEMI患者的QRS积分与患者的冠脉病变支数、Gensini评分、cTnI、BNP、D-D、CK-MB等临床指标均呈正相关性（r=0.561，0.532，0.479，0.490，0.482；均P<0.05）。结论 心电图QRS积分 与STEMI患者病变程度及预后关系有密切的相关性。对于STEMI患者心电图QRS积分的监测，将有助于判断 患者的病变程度及预后效果。
Abstract:
Objective To analyze the relationship between QRS scores in ECG and lesion severity and prognosis in patients with ST-segment elevation myocardial infarction（STEMI）. Methods A total of 97 patients with STEMI admitted to Qingpu Branch of Zhongshan Hospital from January 2016 to December2018 were studied. According to the QRS score of ECG, the patients were divided into QRSscore≤3 group（n=51）and QRS score >3 group（n=46）. The general data and clinical diagnos-tic data of the two groups were observed and compared. After routine treatment, the two groups were followed up for 6 months, and the incidence of adverse cardiovascular events was compared between the two groups. Pearson test was used to analyze the correlation between QRS score and clinical diag-nostic index in STEMI patients. Results In the comparison of general data and clinical diagnostic da-ta, the coronary artery lesions, Gensini score, troponin I （cTnI）, B-type brain natriuretic peptide （BNP）, D-dimerization（DD）and creatine kinase（CK-MB）levels in the QRS score >3 group were higher than those in the QRS score≤3 group, and the differences were statistically significant （P<0.05）. In the prognosis of the two groups, the incidence of cardiovascular adverse events in the QRS score>3 group（26.09%）was higher than that in the QRS scores≤3 group（7.84%）, the dif-ference was statistically significant（P<0.05）. According to Pearson test, the QRS scores of STEMI patients were positively correlated with coronary artery lesions, Gensini score, cTnI, BNP, DD, CK-MB（r=0.561, 0.532, 0.479, 0.490, 0.482; all P<0.05）. Conclusion The electrocardiogram QRS score is closely related to the degree of lesion and prognosis in patients with STEMI. To monitor the QRS scores in STEMI patients will help to determine the degree of the patient's disease and prognosis.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介：徐春红，本科，副主任医师，研究方向：心内科常见病的诊断及治疗、各种心电图的诊断 通信作者：沈丽萍，E-mail：qzf143@163.com
更新日期/Last Update: 2019-10-28