80例蛛网膜下腔出血心电图变化与预后关系分析
蛛网膜下腔出血,,心电图；预后；评分；蛛网膜下腔出血,1资料和方法,2结果,3讨论,参考文献：
摘要：目的 探讨蛛网膜下腔出血(SAH)后心电图改变与预后之间的联系。方法 80例住院动脉瘤性蛛网膜下腔出血的病人，按格拉斯哥预后评分(GOS)标准分为>3分、≤3分两组。所有的患者经标准12导联心电图检查并计算心电图评分(ES)。应用SPSS10.0 统计包分析结果。结果 ①在年龄、性别、动脉瘤生长部位影响动脉瘤性SAH预后方面，两组病例无明显差异(P>0.05)。而按SAH后HuntHess分级和Fisher分级，GOS>3病例的分级要明显低于GOS≤3的病例的分级(P<0.01)；②两组在心率、ST段抬高、ST段压低、T波倒置、U波倒置、室性心律失常出现的频率无明显差异(P>0.05)；在异常Q波和室上性心律失常出现频率及心电图评分方面，GOS>3的组别明显低于对照组(P<0.05，P<0.001)；③心电图评分是SAH患者预后最显著影响的变量(P=0.002，OR=0.010,95%的可信区间0.001~0.173)。结论 心电图评分作为一种新型、简便的半定量方法，能有效的预测蛛网膜下腔出血病人的预后。关键词：心电图；预后；评分；蛛网膜下腔出血
Analysis of the Relationship between Electrocardiographic Changes and Prognosis of 80 Cases with Subarachnoid Hemorrhage
YU Yajuan, CHEN Kefei,ZHOU Yun
(Department of Internal Medicine,the First Affiliated Hospital,Xianning College,Xianning Hubei 437100,China)
ABSTRACT:Objective To investigate the relationship between electrocardiographic changes and prognosis in patients with subarachnoid hemorrhage(SAH). Methods 80 inpatients with SAH caused by ruptured aneurysms were divided into 2 groups:group A,theGlasgow Outcome Scale (GOS) was more than 3;group B,the GOS were less than or equal to 3. All patients had undergone a 12lead ECG recording and calculated ECG scores. The results were analyzed with the statistical software package SPSS10.0.Results ①Between two groups,there was no significant difference about the affection of age,sex and the destribution and location of aneurism on prognosis outcome(P<0.05).However,the grading of HuntHess and Fisher in group A(GOS>3) showed significantly lower than in group B(GOS≤3),(P<0.001)；② There was no significant difference in the frequency of heart rate, ST elevation, ST depression,T wave inversion,U wave inversion and ventricular arrhythmia(P>0.05).The frequency of abnormal Q wave, supraventricular arrhythmia and the ECG scores in group A showed significantly lower than in group B (P<0.05,P<0.001)；③The ECG scores was the most powerful multivariate risk stratified(ECG ≥5 VS ECG<5; P=0.002 ......
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