脑卒中与心电图ST-T改变的相关性分析

目的 探讨ST—T改变与脑卒中的相关性、发生机制及临床意义。方法 回顾分析脑卒中患者2160例心电图资料;比较ST-T明显改变者80例（观察组）和ST-T无明显改变者98例（对照组）的临床资料,包括合并其他常见病、出现心电图异常的情况。结果 2160例中出现心电图异常1327例,其中ST—T改变756例,占异常心电图的56．97％。与对照组比较,观察组合并高血压、冠心病、呼吸衰竭、电解质紊乱、心脏扩大及多种心电图异常发生率高（P〈0．05或P〈0．01）。结论 脑卒中患者心电图ST-T的改变,部分是受神经．体液及代谢．营养障碍的影响而出现的变化,即“神经原性改变”,可随病情好转而变化;部分则与原有的基础病相关,受其心脏在功能上或器质上已出现的病理性改变而影响,不随病情而变化。

The relativity analysis of cerebral apoplexy and ST-T changes in electrocardiogram

Objective To investigate the relativity mechanism and clinical significance between the ST-T changes in electrocardiogram and cerebral apoplexy. Methods 2160 electrocardiogram materids of brain patients in our hospital for medical treatment were analyzed retrospectively. The clinical materials of 98 cases(contrast group) who had no obvious changes and 80 cases(observe group) who had obvious changes of ST-T in ECG were compared. Results 1327 cases of electrocardiographic presented abnormality of 2160, which accounted for 56. 97% of the unusual electrocardiogram. Compared with the contrast group, the incidence of hypertension, coronary heart disease, respiratory failure. electrolyte distur-rbances,beart expanding and mayn rinds of electrocardraphic abnormality was higher(P<0.05 or P<0.01). Conclusions Cerebral apoplexy electrocardiogram ST-T's change is affected by nerve-humoral and supersession-nutrition obstacle the change appearing partly,namely "neuron change" ,which can take a favorable turn with the condition but change;Other part is correlate with already existing basic disease, which is affected by the function or pathology changes that appear already at the device quality and do not change with condition.