宁夏口岸朝觐人员心电图检查与干预措施

目的探讨宁夏口岸朝觐人群异常心电图的分布特点及检测的临床意义,对高危人群进行干预。方法分析宁夏口岸2010—2011年3315名朝觐人员的心电图检查资料,并进行统计学分析。结果心电图异常者共1212例,检出率为36.56%。各类异常改变分别为:ST-T改变379例,窦性心律不齐(窦性心动过缓、过速)354例,束支、房室传导阻滞174例,异位心律失常(室性早搏、房性早搏、房颤)123例,左室高电压118例,低电压48例,陈旧性心梗14例,预激综合征2例。随着年龄的增加,异常检出率也逐渐增加,70岁以上人群心电图异常的检出率最高。男性和女性心电图总的异常检出率相近;女性在50~59岁年龄段心电图异常检出率和ST-T改变的检出率均明显高于男性。结论心电图检查经济、简便且安全,在朝觐人员体检中有重要的实用价值。通过对高危人员进行一系列的干预措施,有效降低了因心脑血管病死亡的人数。

Analysis on ECG results of pilgrimage crowd and interventions at Ningxia port

Objective To investigate the distribution characteristics and the clinical significance of abnormal ECG among pilgrimage crowd at Ningxia port, and to carry out interventions among high-risk personnel. Methods The retrospective analysis was conducted on ECG data of 3 315 pilgrimage crowd at Ningxia port from 2010 to 2011, and the data were statistically analyzed. Results There were 1 212 cases of ECG abnormalities, the detection rate was 36.56%. The various types of abnormalities were as follows： 379 cases of ST-T changes, 354 cases of sinus arrhythmia, 174 cases of conduction block, 123 cases of ectopic arrhythmias, 118 cases of left ventricular high voltage, 48 cases of low voltage, 14 cases of old myocardial infarction, 2 cases of preexcitation syndrome. With increasing age, abnormal detection rate gradually increased, especially over 70-year-old age group which the highest detection rate of ECG abnormalities occurred. At the same time, the ECG abnormal detection rate of male and female was similar. In 50-59 years age group, the abnormal electrocardiogram detection rate and ST-T changes of female were significantly higher than that of male. Conclusion With conveniences such as economy, ease and safety of use, ECG has an important practical value in the pilgrimage examination. To carry out a series of interventions on high-risk personnel, effectively reduced the number of deaths due to cardiovascular and cerebrovascular disease.