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目的探讨湖北省健康人群心电图ST段和T波改变及其影响因素。方法共纳入1 200例健康人群,均行12导联心电图进行检测,观察是否有心电图ST段和T波的改变,并以此分为两组,记录两组患者相关信息,应用非条件Logistic回归分析进行多因素分析。结果 1 200例健康人群中有200例(16.7%)出现ST段和T波的改变,其中男性70例,女性130例,平均年龄(46±8)岁;1 000例(83.3%)未出现ST段和T波的改变,其中男性600例,女性400例,平均年龄(45±9)岁。单因素分析结果表明:两组间年龄≥45岁、高血压病史、糖尿病史、收缩压、舒张压、TG、TC、HDL-C及LDL-C比较差异有统计学意义(P<0.05);进一步行多因素分析结果表明:年龄≥45岁、糖尿病史是健康人群发生ST段和T波改变的独立危险因素(P<0.05)。结论健康人群可以出现ST段和T波的改变,年龄≥45岁、糖尿病史是其发生的独立危险因素,因此对出现ST段和T波改变的该类患者要积极控制相关危险因素,可能降低冠心病的发生率。
Objective To investigate the changes of ST segment and T wave in healthy people in Hubei province and its influencing factors. Methods A total of 1,200 healthy subjects were enrolled in this study. All patients underwent 12-lead electrocardiogram (ECG) to detect ECG changes of ST-segment and T-wave. The data were divided into two groups and the information of two groups were recorded. Analysis of multivariate analysis. Results The ST segment and T wave were found in 200 of 200 healthy subjects (16.7%), including 70 males and 130 females, with an average age of (46 ± 8) years; 1 000 cases (83.3%) did not appear ST segment and T wave changes, including 600 males and 400 females, mean age (45 ± 9) years. Univariate analysis showed that there was significant difference between the two groups (P> 0.05), history of hypertension, history of diabetes mellitus, systolic blood pressure, diastolic blood pressure, TG, TC, HDL-C and LDL- Further multivariate analysis showed that: the age of 45 years of age, diabetes mellitus is an independent risk factor for ST segment and T wave changes in healthy people (P <0.05). CONCLUSIONS: ST segment and T wave changes may occur in healthy people. The age of 45 years or older and diabetes mellitus history are independent risk factors. Therefore, patients with ST-segment and T-wave changes should actively control related risk factors, possibly reducing The incidence of coronary heart disease.