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Title:: Study on 24-h dynamic electrocardiogram changes of senile bronchial asthma during acute period and stable period in elderly patients

作者:: 刘春君¹; 慈书平²; 戴煌²; 李冬梅³; (1.解放军第322医院门诊部，山西大同 037600；
2.解放军第359医院老干部科，江苏镇江 212001；
3.福建医科大学附属第二医院心电图室，福建泉州 362000)

Author(s):: LIU Chun-jun¹; CI Shu-ping²; DAI Huang²; LI Dong-Mei³; (1.Department of Elderly Medicine, PLA 322 Hospital, Datong 037600, Shanxi, China;
2.Department of Elderly Medicine, PLA 359 Hospital, Zhenjiang 212001, Jiangsu, China;
3.Electrocardiogram Room, Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, Fujian, China)

关键词:: 老年人; 支气管哮喘; 发作期; 稳定期; 心电描记术; 心律失常

Keywords:: elderly; bronchial asthma; acute period; stable period; electrocardiography; arrhythmia

分类号:: R562.25,R540.41

DOI:: -

文献标识码:: A

摘要:: 目的:观察老年人支气管哮喘急性发作期与稳定期24小时动态心电图变化。方法：老年支气管哮喘患者76（男54，女22）例。年龄60~89（74±8）岁。哮喘病史2~31（12±9）年。哮喘发作期安放24小时动态心电图；稳定2周后再做24小时动态心电图。结果：哮喘发作期与稳定期24小时动态心电图中最高心率［(142±31)次/min vs.(113±17)次/min］、最低心率［(76±9)次/min vs.(54±11)次/min］、平均心率［(95±16)次/min vs.(73±13)次/min］、室上早次数［(353±72)次/24h vs.(92±37)次/24h、室早次数［(327±75)次/24h vs.(98±27)次/24h］、室上速发生率(91% vs. 20%)、房颤发生率（37% vs. 16%）、ST-T改变发生率（78% vs. 30%）和J波发生率（28% vs. 5%）均显著增多或增高（P<0.05或P<0.01）。结论：哮喘发作期较稳定期可诱发多种心律失常和心电图改变。

Abstract:: AIM:To examine 24-h dynamic electrocardiogram changes of senile bronchial asthma during acute and stable periods in elderly patients. METHODS: Seventy-six patients (54 male, 22 female) aged 60-89(74±8) years were included in this study. Patients had a history of asthma between 2 and 31(12±9) years. Twenty-four-hour dynamic electrocardiogram was performed, respectively, during acute period and 2 weeks after the stable period. RESULTS: There were significant differences in maximum heart rate ［(142±31) vs.(113±17) 1/min］, minimum heart rate ［(76±9) vs.(54±11) 1/min］, mean heart rate ［(95±16) vs.(73±13) 1/min］, supraventricular premature beats ［(353±72) vs.(92±37) 1/24 h］, ventricular premature beats ［(327±75) vs.(98±27) 1/24 h］, supraventricular tachycardia cases (69 vs. 15), atrial fibrillation cases (28 vs. 12), ST-T change cases (59 vs. 23) and J-wave cases (21 vs. 4) between acute and stable periods (P<0.05 or P<0.01). CONCLUSION: Asthma during acute period can induce varied electrocardiogram changes and arrhythmia, possibly due to anoxia, catecholamine increase, right ventricular hypertrophy, and acid-base and electrolyte disorders.

参考文献/References

[1]中华医学会呼吸系病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗及教育和管理方案)[J].中华结核和呼吸杂志,2003,31(3):132-138.
[2]陈灏珠,林果为.实用内科学[M].第13版.北京:人民卫生出版社,2009,1730-1742.
[3]黄宛.临床心电图学[M].北京:人民卫生出版社,2001,1-566.
[4]高德江.108例哮喘病人急性发作时心电图改变[J].中国疗养医学,2006,15(2):148-149.
[5]林剑勇，苏国生，黄照国，等.112例老年哮喘病发病诱因和并发症临床治疗分析,中国实用医药,2009,13(4):5-7.
[6]王荣琦,桑利,刘伟华.支气管哮喘发作期J波变化与病情诱发、加重关系探讨[J].中国当代医药,2010,17( 31):17-18.
[7]刘春君,李静,杨月琴,等.阻塞性睡眠呼吸暂停综合征与高血压关系随访研究[J].心脏杂志,2012,24(5):604-605,608.
[8]曹永生,戴煌,倪竟全,等.老年阻塞性睡眠呼吸暂停低通气综合征与多器官疾病关系的长期随访[J].中华结核和呼吸杂志,2014,37(2):95-98.
[9]刘春君,杨月琴,李静,等.24小时动态心电图的昼夜变化对阻塞性睡眠呼吸暂停综合征的诊断价值[J].实用心脑肺血管病杂志,2013,21(1):82-83.

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老年人支气管哮喘急性发作期与稳定期24小时动态心电图变化

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

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