摘要
目的探讨心律失常患者院内感染后心电图和心肌酶的变化及临床意义。方法回顾性分析乌鲁木齐市第四人民医院2010年1月至2011年12月收治的64例心律失常合并院内感染患者的临床资料,对患者院内感染前、后心电图及心肌酶变化情况进行分析。结果 64例心律失常患者发生院内感染后,心电图及心肌酶均明显改变,期前收缩、束支传导阻滞、窦性心动过速患者明显增多,且磷酸肌酸激酶、磷酸肌酸激酶心型同工酶明显升高,与发生院内感染前比较,差异均有统计学意义(P<0.05)。结论临床医师应掌握心律失常患者院内感染后心电图及心肌酶变化规律,减少该类患者院内感染的发生,促进患者及早康复。
Objective To investigate the changes and clinical significance of electrocardiogram（ECG）and myocardial enzyme in arrhythmia patients with nosocomial infection.Methods The clinical data of 64 arrhythmia patients from January 2010 to December 2011 in Urumqi Fourth People′s Hospital with nosocomial infection were analyzed retrospectively,the changes of ECG and myocardial enzyme in patients before and after nosocomial infection were analyzed.Results The ECG and myocardial enzyme in arrhythmia patients with nosocomial infection were significantly changed,patients with premature beats,bundle branch block,sinus tachycardia increased significantly,and creatine phosphokinase（CPK）,creatine phosphokinase-myocardial band（CPK-MB）significantly increased compared with before the nosocomial infections,the differences were statistically significant（P0.05）.Conclusion Clinicians should understand and master the ECG and myocardial enzyme variation of arrhythmia patients with nosocomial infection,reduce the incidence of the infection,and promote the speedy recovery of patients.
出处
《医学综述》
2012年第20期3479-3480,共2页
Medical Recapitulate
关键词
心律失常
院内感染
心电图
心肌酶
Arrhythmia
Nosocomial infection
Electrocardiogram
Myocardial enzyme
