老年人支气管哮喘急性发作期与稳定期24小时动态心电图变化的对比分析
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- 论文作者：于华 ; 梁伟 ; 刘宁
- 年：2016
- 作者机构：西南医科大学附属医院;
- 论文关键词：老年 ; 支气管哮喘 ; 急性发作期 ; 稳定期 ; 24小时动态心电图
- 英文论文关键词：Elderly ; Asthma ; Acute stage ; 24-hour ambulatory electrocardiogram
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R562.25
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：2036k
- 原文格式：D
- 会议级别：全国
摘要
目的探讨老年人支气管哮喘急性发作期与稳定期24h动态心电图变化特征。方法选取2014年1月~2015年2月我院收治哮喘急性发作期患者88例为研究对象,分别在急性发作期和稳定2周后安放24h动态心电图,比较不同时期心电图变化特征。结果急性期呼吸衰竭、呼吸性酸中毒、低血钾、肺部感染及心力衰竭并发症发生率均高于稳定期[23.86%比2.27%,27.27%比3.41%,17.05%比1.14%,42.05%比4.55%,13.64%比1.14%,P<0.05]。急性期最低心率、最高心率、平均心率、室性早搏次数、室上性早搏次数均高于稳定期,室上性心动过速、房颤和房扑、ST-T段缺血改变和J波发生率均高于稳定期[(77.4±9.7)次/min比(56.2±9.8)次/min,(149.7±21.1)次/min比(112.1±18.9)次/min,(95.6±14.4)次/min比(75.4±10.2)次/min,(321.4±55.4)次比(97.6±21.1)次,(334.5±65.1)次比(91.4±19.4)次,82.95%比15.91%,35.23%比14.77%,69.32%比27.27%,25.00%比4.55%,P<0.05]。结论老年哮喘急性发作期可诱导发生多种心律失常,心电图变化较大。
Objective Discussion elderly acute exacerbation of bronchial asthma and stabilizer 24 h Holter variation. Method January 2014- February 2015 admitted to our hospital withacute exacerbation of asthma in 88 cases for the study, in the acute phase and stable two weeks after 24 h Holter, ECG changes characteristic compare different periods, respectively.Result Acuterespiratory failure, respiratory acidosis, hypokalemia, lung infection and heart failure complications were higher than stable[23.86% vs.2.27%,27.27% vs.3.41%,17.05% vs.1.14%,42.05% vs.4.55%,13.64%vs.1.14%,P < 0.05].The acute phase of the lowest heart rate, maximum heart rate, average heart rate, premature supraventricular were higher than the number of stable, supraventriculartachycardia, atrial fibrillation and atrial flutter, ST-T segment ischemic changes and J wave It was higher than stable[(77.4±9.7)times /min vs.(56.2±9.8)times /min,(149.7±21.1)times /min vs.(112.1±18.9)times /min,(95.6±14.4)times /min vs.(75.4±10.2)times /min,(321.4±55.4)times vs.(97.6±21.1)times,(334.5±65.1)times vs.(91.4±19.4)times,82.95% vs.15.91%,35.23% vs.14.77%,69.32% vs.27.27%,25.00% vs.4.55%,P < 0.05].Conclusion Acute exacerbation of asthma in the elderly can induce the occurrence of a variety of cardiac arrhythmias, ECGchanges greatly.
Objective Discussion elderly acute exacerbation of bronchial asthma and stabilizer 24 h Holter variation. Method January 2014- February 2015 admitted to our hospital withacute exacerbation of asthma in 88 cases for the study, in the acute phase and stable two weeks after 24 h Holter, ECG changes characteristic compare different periods, respectively.Result Acuterespiratory failure, respiratory acidosis, hypokalemia, lung infection and heart failure complications were higher than stable[23.86% vs.2.27%,27.27% vs.3.41%,17.05% vs.1.14%,42.05% vs.4.55%,13.64%vs.1.14%,P < 0.05].The acute phase of the lowest heart rate, maximum heart rate, average heart rate, premature supraventricular were higher than the number of stable, supraventriculartachycardia, atrial fibrillation and atrial flutter, ST-T segment ischemic changes and J wave It was higher than stable[(77.4±9.7)times /min vs.(56.2±9.8)times /min,(149.7±21.1)times /min vs.(112.1±18.9)times /min,(95.6±14.4)times /min vs.(75.4±10.2)times /min,(321.4±55.4)times vs.(97.6±21.1)times,(334.5±65.1)times vs.(91.4±19.4)times,82.95% vs.15.91%,35.23% vs.14.77%,69.32% vs.27.27%,25.00% vs.4.55%,P < 0.05].Conclusion Acute exacerbation of asthma in the elderly can induce the occurrence of a variety of cardiac arrhythmias, ECGchanges greatly.
引文
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[2]郑颖.老年支气管哮喘的临床特点分析[J].中国全科医学,2012,15(24):2803-2805.
[3]陈浩刚,李忠,翟永新等.a VR导联QRS电压改变对支气管哮喘与心源性哮喘鉴别诊断的价值[J].中国基层医药,2015,22(4):586-588.
[4]佟雪飞,郭海军.直肠应用吲哚美辛栓致过敏性哮喘及急性心肌缺血[J].药物不良反应杂志,2013,15(2):107-108.
[5]毕玉磊,邱丽丽,马龙等.职业性哮喘心率变异性和窦性心律震荡变化及临床意义[J].中国职业医学,2013,40(2):137-139.
[6]范昭豪,邓亮,戴武强等.老年哮喘患者气道不完全可逆的影响因素[J].中国老年学杂志,2014,34(4):910-912.