摘要
目的探讨3874例女性精神疾病患者的心电图异常情况,为防治其心血管疾病提供参考。方法收集2015年8月-2017年6月在四川省精神卫生中心住院的3 874例女性精神疾病患者的心电图、年龄、病种等资料,将16岁≤年龄<40岁的患者分为A组,40岁≤年龄<70岁为B组,比较不同人口学资料及临床特征患者的心电图差异。结果 3 874例女性精神疾病患者正常心电图2 510例(64.79%),异常心电图1 364例(35.21%)。异常心电图的表现分别为窦性心律失常、ST-T改变、各类早搏、束支传导阻滞。A、B两组异常心电图例数分别为383例(22.01%)、981例(45.97%),异常心电图检出例数差异有统计学意义(χ~2=241.18,P<0.01)。A组以窦性心律不齐最为多见,共285例(51.96%);B组以ST-T改变最为多见,共342例(34.87%)。不同精神障碍患者异常心电图检出例数差异无统计学意义(χ~2=29.21,P>0.01)。结论女性精神疾病患者异常心电图比例较高,40岁以上患者异常心电图比例更高,但不同精神疾病患者异常心电图比例并无差异。
Objective To investigate the abnormal electrocardiogram of 3 874 female patients with mental illness and to provide references for the prevention and treatment of cardiovascular events. Methods Collected data on the electrocardiogram,age,and disease of 3 874 female mental illness patients hospitalized in Sichuan Mental Health Center From August 2015 to June 2017.3 874 patients were divided into two groups,age from 16 to 40 was group A,and age from 40 to 70 was group B. The differences of electrocardiogram between different demographic data and clinical characteristics were compared. Results 3 874 female patients with mental illness had normal ECG 2 510 cases( 64. 79%) and abnormal 1 364 cases( 35. 21%). The abnormal ECG was followed by sinus arrhythmias,ST-T changes,various types of early post,and bundle branch block. There were 383 cases( 22. 01%) and 981 cases( 45. 97%) of abnormal ECG in group A and group B. There was statistical significance in abnormal ECG detection of the two groups( χ~2= 241. 18,P < 0. 01). Group A was often seen with sinus arrhythmia,there were 285 cases( 51. 96%). In group B,ST-T changes were the most common,with 342 cases( 34. 87%). There was no statistically significant difference in abnormal ECG detection in patients with different mental disorders( χ~2= 29. 21,P > 0. 01). Conclusion The proportion of abnormal electrocardiograms in women with mental disorders is higher,and abnormal ECG rates are higher in those over 40 years old,but there was no difference in abnormal ECG rates in patients with different mental illnesses.
出处
《四川精神卫生》
2018年第1期48-50,共3页
Sichuan Mental Health
关键词
心电图
女性精神疾病患者
心血管疾病
Electrocardiogram
Female patients with mental illness
Cardiovascular disease
