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急性颅脑损伤患者心率变异性的临床分析
引用本文:杜凤和,刘金,张彤,李明月,赵继宗,富壮. 急性颅脑损伤患者心率变异性的临床分析[J]. 首都医科大学学报, 2000, 21(3): 204-205
作者姓名:杜凤和  刘金  张彤  李明月  赵继宗  富壮
作者单位:[1]首都医科大学附属北京天坛医院心内科 [2]天坛医院神经外科
摘    要:为了解急性颅脑损伤病人伤后早期心率变异性的改变及其与QT离散度的相关性 ,对 60例急性颅脑损伤(损伤组 )病人和对照组 ( 30例 )的 2 4h心电图 (Holter) ,应用美国DMS分析软件进行心率变异性的时域分析。结果 :①损伤组颅脑损伤后早期心率变异性时域分析的各项参数指标均降低 (P <0 .0 1 ) ;②损伤组正常R R间距标准差(SDNN)与QT离散度呈正相关 (P <0 .0 5)

关 键 词:颅脑损伤  心率变异性  QT离散度
收稿时间:2000-01-15
修稿时间:2000-01-15

Clinical Analysis of Heart Rate Variability in Patients with Acute Head Injury
Du Fenghe,Liu Jin,Zhang Tong,Li Mingyue,Zhao Jizong,Fu Zhuang. Clinical Analysis of Heart Rate Variability in Patients with Acute Head Injury[J]. Journal of Capital Medical University, 2000, 21(3): 204-205
Authors:Du Fenghe  Liu Jin  Zhang Tong  Li Mingyue  Zhao Jizong  Fu Zhuang
Affiliation:1. Department of Internal Medicine, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences;2. Department of Neurosurgery, Tiantan Hospital
Abstract:To study the variation of heart rate variability and its association with QT interval dispersion in patients with acute head injury, 24 hour ambulatory electrocardiographs collected in 60 patients with in 72 h after acute head injury and 30 control subjects were analyzed in the respect of the heart rate variability of Time Domain Methods by using the DMS software. Result:①All parameters of heart rate variability were reduced in the patients with acute head injury(P<0.01).② QT interval dispersion(QTd) positively correlated with the standard deviation of the RR intervals(SDNN) in the severed patients (P<0.05).It suggests that the variation of HRV and QTd may serve as a predictor in the severed arrhythmia of patients after head injury.
Keywords:head injury  heart rate variability  QT interval dispersion
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