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目的 :探讨急性脑卒中的心脑电监护结果和预后的关系。方法 :将心电图、双导脑电图的床边动态监护仪与微机联网 ,对 4 1例急性脑卒中患者的心脑电图进行监护。 (此仪器曾获省科技进步二等奖 )。结果 :心肌呈缺血型改变 15型占 36 6 % ,心律失常者 9例占 2 2 % ,脑电图轻度异常 16例占 39% ,中重度异常者 2 5例占 5 3 7% ,心脑电图同时异常者 2 2例占 5 3 7%。心电监护结果异常者与正常者预后有显著差异 (P <0 0 0 1) ,脑电监护显示中重度异常的患者 ,与轻度异常者预后有显著差异 (P <0 0 0 1)。结论 :心脑电监护对急性脑卒中预后的判定有较大价值。
Objective: To investigate the relationship between the results of cardiocerebral monitoring and prognosis in acute stroke. Methods: The electrocardiogram (ECG) and the bedside dynamic monitor with double-guided electroencephalography (EEG) were connected with the microcomputer. The electrocardiogram was monitored in 41 acute stroke patients. (This instrument has won the provincial science and technology progress prize two). Results: Myocardial ischemic changes accounted for 36 6%, 9 cases of arrhythmia 22%, 16 cases of mild abnormal EEG 39%, 25 cases of moderate and severe abnormalities accounted for 53.7% Encephalogram abnormalities at the same time 2 2 cases accounted for 53.7%. The prognosis of patients with abnormal results of ECG monitoring was significantly different from that of normal patients (P <0.01). There was significant difference (P <0.01) in patients with moderate-severe ECG abnormalities and mild abnormalities. Conclusion: Cardiac and EEG monitoring has a great value in judging the prognosis of acute stroke.