郑州市12375例健康体检者心电图分析

目的提供郑州地区健康体检心电图异常情况统计资料。分析心电图异常改变的相关因素。探讨心电图对体检人群心脏健康的监察意义,为今后防治心血管疾病提供科学依据。方法对2010年于郑州市某医院进行健康体检的12 375份心电图资料按年龄及性别进行分组比较分析,并对异常心电图的相关因素进行统计分析。结果分析发现,正常心电图占73.50%,异常心电图的总检出率为26.50%。异常心电图主要表现为窦性心律失常,ST-T改变,传导异常等。心电图异常改变随年龄增大呈增加趋势,男性异常心电图检出率高于女性。异常心电图人群甘油三酯(TG)升高率为25.90%,其他异常:总胆固醇(TC)为37.80%、低密度脂蛋白(LDL)为27.00%、空腹血糖(FBG)为9.50%、血压(BP)为46.20%,与正常心电图人群比较,差异有统计学意义(P<0.05)。结论年龄、性别、血脂异常、高血糖、高血压是心电图异常改变的重要因素,定期检查心电图对早期发现和诊断心血管疾病具有重要意义

The analysis of electrocardiogram of 12375 physical examination cases

Objective To investigate the distribution of abnormal electrocardiogram in the vocational population in Zhengzhou, and analyse the relative factors of abnormal electrocardiogram. To explore the heart health supervision value of the electrocardiography, and provide scientific evidences for future cardiovascular disease control. Methods Using statistical methods, we comparatively analyzed 12375 electrocardiograms of group health checkups by age and by sex, and analysed the relative factors of abnormal electrocardiogram. Results It was found that normalcases comprised 73.5 % and abnormal cases comprised 38.2 %. The abnormal cardiogram rates were si- nus arrhythmia, ST segment and T wave abnormity, abnormalities of cardiac conduction system. The prevalence of abnormal electrocardiogram was positively correlated with age, and the prevalence is higher in male than female. There were significant differences in TC, TG, LDL, FBG, BP between the groups of abnormal ECG and normal ECG. Conclusion Generally speaking, Abnormal electrocardiogram has relationship with age, sex, high blood fat, high blood glucose, hypertension. Therefore, great emphasis should be attached to the necessity of multiple risk factors intervention, in order to reduce the occurrence of cardiovascular events.