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目的探讨急性脑血管病合并心电图异常的发生、急性脑血管病类型、意识清醒情况以及预后情况。方法选择我院收治的68例急性脑血管病患者,在入院后对其进行心电图监测,对其心电图结果进行统计学分析。结果 68例患者中共有58例出现心电图异常,约占85.25%。其中脑出血组的心电图异常共有30例,约占93.75%;脑血栓组的心电图异常共有13例,约占40.63%;蛛网膜下腔出血7例,约占77.78%。意识障碍患者的心电图异常率相比意识清醒患者的差异具有统计学意义(P<0.05)。心电图异常患者心电图复查结果 ,其中53例恢复至正常,15例最终死亡,死亡患者心电图异常情况较为显著。结论急性脑血管病与心脏疾病密切相关,通过监测心电图的异常变化有助于制定完善的治疗方案,明显改善预后,可以作为治疗急性脑血管疾病患者的一个非常重要的手段。
Objective To investigate the occurrence of acute cerebrovascular disease complicated by electrocardiogram, type of acute cerebrovascular disease, consciousness and awareness and prognosis. Methods Sixty-eight patients with acute cerebrovascular disease who were admitted to our hospital were enrolled and their electrocardiogram was monitored after admission. The results of electrocardiogram were statistically analyzed. Results A total of 68 patients, 58 cases of ECG abnormalities, accounting for 85.25%. There were 30 cases of abnormal electrocardiogram in cerebral hemorrhage group, accounting for 93.75%. There were 13 cases of electrocardiogram abnormalities in cerebral thrombosis group, accounting for 40.63%; 7 cases of subarachnoid hemorrhage, accounting for 77.78%. The difference of ECG abnormality in patients with disturbance of consciousness compared with conscious patients was statistically significant (P <0.05). ECG abnormalities in patients with electrocardiogram review results, of which 53 patients returned to normal, 15 patients eventually died, the death of patients with abnormal electrocardiogram more significant. Conclusions Acute cerebrovascular disease is closely related to heart disease. Monitoring the abnormal changes of electrocardiogram can help to develop a complete treatment plan and significantly improve the prognosis. It can be used as a very important measure to treat patients with acute cerebrovascular disease.