急性脑梗死患者临床分型及梗死面积与心电图改变的关系

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1、KKME---专业医学搜索引擎http://www.kkme.net/急性脑梗死患者临床分型及梗死面积与心电图改变的关系急性脑梗死患者临床分型及梗死面积与心电图改变的关系作者：李飞，付恩鸿，王锋，孙安华作者单位：239500安徽省全椒县人民医院内一科【摘要】目的探讨急性脑梗死患者临床分型和梗死面积与心电图（ECG）改变的关系。方法给216例急性脑梗死患者进行ECG检查，按牛津郡社区卒中项目（OCSP）分型和梗死面积分型，对各组患者的ECG检查结果进行分析比较。结果OCSP分型完全前循环梗死（TACI）组、部分前循环梗死（PACI）组、后循

2、环梗死（POCI）组和腔隙性梗死（LACI）组患者的ECG异常率分别是：95.5%、80.4%、62.5%和48.5%，TACI组和PACI组明显高于LACI组（P<0.05～0.01）；大中面积梗死组（83.7%）的ECG异常率明显高于小面积梗死组（60.4%）和腔隙性梗死组（53.2%）（P<0.05～0.01）；小面积梗死组的ECG异常率高于腔隙性梗死组（P<0.05）。OCSP和梗死面积分型各亚型组出现STT改变和心律失常的比率差异有统计学意义（P<0.05～0.01）。结论急性脑梗死临床分型病情重和梗死面积大的患者ECG异常率

3、高。【关键词】急性脑梗死；心电图；临床分型RelationshipbetweenclassificationofclinicalandinfarctsizeandelectrocardiographicchangesinpatientswithacutecerebralKKME---专业医学搜索引擎http://www.kkme.net/infarctionLIFei,FUEnhong,WANGFeng,etal.DepartmentIofInternalMedicine,thePeoplesHospitalofQuanjiaoCou

4、nty,Quanjiao239500,ChinaAbstract：ObjectiveToevaluatetherelationshipbetweenclassificationofclinical,theinfarctsizeinpatientswithacutecerebralinfarctionandelectrocardiographic(ECG)changes.MethodsTheECGweredonein216patientswithacutecerebralinfarction.ECGresultsofthepatientsw

5、ereanalyzedaccordingtoclassificationoftheOxfordshireCommumityProjectCriteria(OCSP)andinfarctsize.ResultsTheratesofECGabnormalityinclassificationofOCSPwere95.5%fortotalanteriorcirculationinfarction(TACI),80.4%forpartialanteriorcirculationinfarction(PACI),62.5%forposteriorc

6、irculationinfarction(POCI)and48.5%forlacunarcerebralinfarction(LACI).TheratesofECGabnormalityofTACIandPACIweresignficantlyhigherthanthatofgroupofLACI(P<0.05～0.01).TherateofECGabnormalityoflargeinfarction(83.7%)wassignificantlyhigherthanthoseofsmallinfarction(60.4%)andlacu

7、narinfarction(53.2%)(P<0.05～0.01).TherateofECGabnormalityofsmallinfarctionwassignificantlyhigherthanthatoflacunarinfarction(P<0.05).EachsubtypeoftheclassificationofOCSPandtheinfarcsizeweresignificantlydifferentinSTTchangesandarrhythmias(P<0.05～0.01).ConclusionTheseverity

8、intheclassificationofclinicalandlargeinfarctionhavehighratesofECGKKME---专业医学搜索引擎http://www.kkme.