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目的分析急性脑卒中患者动态心电图改变的特点。方法选取100例急性脑卒中患者,行24 h动态心电图监测,分析结果。结果 100例患者中,动态心电图异常率为82.0%,以ST-T异常、电压异常多见;脑干及丘脑部位卒中患者心律失常发生率高于其他部位(P<0.05),ST-T异常发生率低于其他部位(P<0.05);脑缺血患者心律失常发生率高于脑出血患者(P<0.05)。结论急性脑卒中患者动态心电图异常表现主要以ST-T异常、电压异常多见,卒中部位位于脑干及丘脑患者、脑缺血患者更易出现心律失常表现。
Objective To analyze the characteristics of ambulatory electrocardiogram changes in acute stroke patients. Methods A total of 100 patients with acute stroke were selected and monitored by 24 h Holter monitoring. Results were analyzed. Results Among the 100 patients, the abnormal rate of ambulatory electrocardiogram was 82.0%. ST-T abnormality and abnormal voltage were more common. The incidence of arrhythmia was higher in stroke patients with brainstem and thalamic brain regions than in other regions (P <0.05) (P <0.05). The incidence of arrhythmia in cerebral ischemia patients was higher than that in patients with cerebral hemorrhage (P <0.05). Conclusion The abnormal electrocardiogram in patients with acute stroke is mainly characterized by abnormal ST-T, abnormal voltage, and the stroke site is located in the brainstem and thalamus. The patients with cerebral ischemia are more likely to have arrhythmia.