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甲状腺功能减退性心脏病心率变异性的临床研究
引用本文:于东汇,李中言,秦玉虎. 甲状腺功能减退性心脏病心率变异性的临床研究[J]. 中国地方病防治杂志, 2007, 22(2): 156-157
作者姓名:于东汇  李中言  秦玉虎
作者单位:吉林医药学院附属医院,吉林,132001
摘    要:目的观察甲状腺功能减退性心脏病(甲减心)患者心率变异性(HRV)的变化。方法采用24h动态心电图分析甲减心患者(39例)HRV的时域指标,并与正常对照组(39例)进行比较。结果甲减心组平均R-R间距(RRI)、24h窦性R-R间期标准差(SD)、5min窦性R-R间期标准差(SDAIDX)、5min窦性R-R间期标准差的均值(SDIDX)、R-R连续差异平方根(rMSSD)、相邻窦性R-R间期差值〉50ms的百分比(PNN50),均明显低于正常对照组,具有非常显著性差异(P〈0.01)。结论甲减心患者交感神经及迷走神经功能均受损,可能为甲减心的发病机制之一。

关 键 词:甲状腺  心脏病  心率变异性  心电图
文章编号:1001-1889(2007)02-0156-02
修稿时间:2007-01-18

Clinical study of the heart rate variability in patients with hypothyroidis
YU Dong-hui,LI Zhong-yan,QIN Yu-hu. Clinical study of the heart rate variability in patients with hypothyroidis[J]. Chinese Journal of Control of Endemic Disenaces, 2007, 22(2): 156-157
Authors:YU Dong-hui  LI Zhong-yan  QIN Yu-hu
Affiliation:Department of Cardiology and Kidney, the Affiliated Hospital, Jilin Medical and Pharmaceutical College, Jilin 132013, China
Abstract:Objective To analyze the heart rate variability(HRV) in patients with hypothyroidism.Methods Time domain indices of HRV were analyzed using 240 hour ambulatory electrocardiogram recording.45 patients with hypothyroidism and 45 healthy subjects were included.Results SD,SDAIDX,SDIDX,rMSSD,PNN50,RRI in the hypothyroidism group were significantly lower than those in the healthy subjects group (P<0.01).Conclusion Both sympathetic and parasympathetic dysfunction appeared in the patients with hypothyroidism.
Keywords:Hypothyroidism   Heart rate variability   Electrocardiogram
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