急性脑血管病脑心综合征的临床研究
【摘要】目的：探讨急性脑血管病(ACVD)脑心综合征(CCS)的特征、发病机制和治疗措施。方法：对186例ACVD病人的临床资料进行分析。结果：ACVD病人心电图改变为48.1%~81.5%，出血性卒中、近中线结构的损害病人并发CCS发生率更高。结论：其发生机制可能与脑受损导致对心脏神经支配紊乱，神经、体液调节障碍，血管病变及血流动力学变化有关。应加强对ACVD病人心脏监护，积极诊治CCS。
【关键词】急性脑血管病；脑心综合征；心电图
文章编号：1009-5519(2008)05-0641-02 中图分类号：R5 文献标识码：A
Clinical investigation of cerebral-cardiac syndrome in patients with acute cerebrovascular disease
, http://www.100md.com HU Shan-you，REN Guang-sheng
(Department of Emergency，The Central Hospital of Jiading，Shanghai 201800，China)
【Abstract】Objective：To investigate the clinical characteristics，pathogenesis and therapy of cerebral-cardiac syndrome(CCS) in patients with acute cerebrovascular diseases(ACVD). Methods：The clinical data of 186patientswith ACVD were analyzed.Results：48.08%~81.48% of ACVD patients had ECG changes.In ACVD patients who suffered from hemorrhagic stroke，injury of structures near median line，the incidence of CSS was signifficantly higher than that in the others.Conclusion：Pathogenesis of CCS may be related to the disturbance of cardiac innervation，neural and humoral regulation，vascular lesion，hemodynamic disorders which may result from the lesion of brain.Heart monitering should be strenghened in ACVD and CCS should be diagnosed and treated actively.
, 百拇医药
【Key words】Acute cerebrovascular disease；Cerebral-cardiac syndrome；ECG
急性脑血管病(ACVD)对心脏的影响，近年来逐渐受到人们的重视。 现对本院186例急性脑血管病病人进行分析如下。
1 资料与方法
1.1 一般资料：2005年12月~2006年12月在我院神经内科和ICU住院的ACVD 186例，均符合全国第四次脑血管病学术会议制定的诊断标准，并经头颅CT证实及定位。男130例，女56例，年龄26~92岁，平均65.6岁。脑出血(CH)组54例，脑梗死(CI)组104例，蛛网膜下腔出血(SAH)组28例。
1.2 方法：采用心电图机记录常规12导联体表心电图。统计学处理采用χ2检验。
, 百拇医药
2 结果
2.1 心电图异常类型：ST段水平下移和(或)T波低平、双向、倒置75例，左心室高电压50例，心房颤动25例，窦性心动过缓24例，窦性心动过速22例，室上性早搏8例，室性早搏6例，室性心动过速2例，房室及室内传导阻滞10例，交界性逸搏心律3例，Q-T间期延长6例，U波增高4例。部分病人出现两种或两种以上类型异常心电图。
2.2 疾病类型与心电图关系：CH组54例， 房颤发生2例(3.7%)，心电图异常44例(81.5%)；CI组104例， 房颤发生19例(18.3%)，心电图异常50例(48.1%)；SAH组28例， 房颤发生1例(3.6%)，心电图异常19例(67.9%)。CH组与CI组比较，CI组与CH、SAH组比较，均P, 百拇医药(胡善友 任广胜)
【关键词】急性脑血管病；脑心综合征；心电图
文章编号：1009-5519(2008)05-0641-02 中图分类号：R5 文献标识码：A
Clinical investigation of cerebral-cardiac syndrome in patients with acute cerebrovascular disease
, http://www.100md.com HU Shan-you，REN Guang-sheng
(Department of Emergency，The Central Hospital of Jiading，Shanghai 201800，China)
【Abstract】Objective：To investigate the clinical characteristics，pathogenesis and therapy of cerebral-cardiac syndrome(CCS) in patients with acute cerebrovascular diseases(ACVD). Methods：The clinical data of 186patientswith ACVD were analyzed.Results：48.08%~81.48% of ACVD patients had ECG changes.In ACVD patients who suffered from hemorrhagic stroke，injury of structures near median line，the incidence of CSS was signifficantly higher than that in the others.Conclusion：Pathogenesis of CCS may be related to the disturbance of cardiac innervation，neural and humoral regulation，vascular lesion，hemodynamic disorders which may result from the lesion of brain.Heart monitering should be strenghened in ACVD and CCS should be diagnosed and treated actively.
, 百拇医药
【Key words】Acute cerebrovascular disease；Cerebral-cardiac syndrome；ECG
急性脑血管病(ACVD)对心脏的影响，近年来逐渐受到人们的重视。 现对本院186例急性脑血管病病人进行分析如下。
1 资料与方法
1.1 一般资料：2005年12月~2006年12月在我院神经内科和ICU住院的ACVD 186例，均符合全国第四次脑血管病学术会议制定的诊断标准，并经头颅CT证实及定位。男130例，女56例，年龄26~92岁，平均65.6岁。脑出血(CH)组54例，脑梗死(CI)组104例，蛛网膜下腔出血(SAH)组28例。
1.2 方法：采用心电图机记录常规12导联体表心电图。统计学处理采用χ2检验。
, 百拇医药
2 结果
2.1 心电图异常类型：ST段水平下移和(或)T波低平、双向、倒置75例，左心室高电压50例，心房颤动25例，窦性心动过缓24例，窦性心动过速22例，室上性早搏8例，室性早搏6例，室性心动过速2例，房室及室内传导阻滞10例，交界性逸搏心律3例，Q-T间期延长6例，U波增高4例。部分病人出现两种或两种以上类型异常心电图。
2.2 疾病类型与心电图关系：CH组54例， 房颤发生2例(3.7%)，心电图异常44例(81.5%)；CI组104例， 房颤发生19例(18.3%)，心电图异常50例(48.1%)；SAH组28例， 房颤发生1例(3.6%)，心电图异常19例(67.9%)。CH组与CI组比较，CI组与CH、SAH组比较，均P, 百拇医药(胡善友 任广胜)