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|本期目录/Table of Contents|

妊娠高血压综合征患者心律失常的发生率及分布特征

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2016年第5期
页码:
556-558
栏目:
临床研究
出版日期:
2016-04-25

文章信息/Info

Title:
Incidence and distribution of arrhythmia in patients with pregnancy-induced hypertension syndrome
作者:
许淑淑1; 2; 张根水2
(广州医科大学：1.附属广州妇女儿童医疗中心心脏功能诊断科，2.药理学教研室，广东 广州 510006)
Author(s):
XU Shu-shu1; 2;  ZHANG Gen-shui2
(1.Department of Electrocardiogram, Affiliated Guangzhou Women and Children’s Hospital, 2.Department of Pharmacology, Guangzhou Medical University, Guangzhou 510006, Guangdong, China)
关键词:
妊娠高血压综合征; 血压; 心电图
Keywords:
pregnancy-induced hypertension syndrome;  blood pressure;  electrocardiogram
分类号:
R714.24
DOI:
-
文献标识码:
A
摘要:
目的 描述妊娠高血压综合征（妊高征）患者心律失常发生率及分布特征。方法 选取我院患有妊娠高血压综合征的孕妇280例，观察其生产前后的心电图变化及不同程度妊娠高血压综合征的心电图情况，另抽取280例正常孕妇作为正常孕妇组。结果 妊高征组产前心律失常发生率显著高于产后心律失常发生率（58.2% vs. 20.0%，P<0.05）。妊高征组产前心律失常率与正常孕妇组产前心律失常率比较，差异具有统计学意义（P<0.05）。不同程度妊娠高血压综合征组心律失常率比较，差异均有统计学意义（P<0.05）。结论 妊高征患者产前的心律失常率比产后的心律失常率高，也显著高于正常孕妇组。随着妊高征程度的加重，心律失常发生率依次增高。
Abstract:
AIM To describe the incidence and distribution of arrhythmia in patients with pregnancy-induced hypertension (PIH) syndrome. METHODSElectrocardiogram (ECG) was examined in women with pregnancy-induced hypertension syndrome (observation group n=280) and normal pregnant women (control group n=280). ECG changes in both observation group and control group before and after childbirth and arrhythmias in different stages of PIH were observed. RESULTSIn observation group, the prenatal rate of arrhythmias was higher than the postnatal rate, with a statistically significant difference (58.2% vs. 20.0%, P<0.05). Prenatal rate of arrhythmias in the observation group was statistically different compared with that in the control group (P<0.05). The rate of arrhythmias was also significantly different in different stages of PIH (P<0.05). CONCLUSIONThe prenatal rate of arrhythmias is higher than the postnatal rate in women with PIH syndrome. The rate of arrhythmias in women with PIH syndrome is higher than the rate in normal pregnant women. The rate of arrhythmias increases with the development of hypertension.

参考文献/References

[1]Gifford R,August P,Cunningham G,et al.Report of the National High Blood pressure Education Program Working Group on high blood pressure in pregnancy[J].Am J Obstet Gynecol,2000,183(1):S1-S22.
[2]Cunninghan FG,Mac Donald PC,Gant NF.eds.Willams Obsterics[M].20th ed.New Yord:Appleton,1997, 697-698.
[3]Peters RM,Flack JM.Hypertensive disorders of pregnancy[J].J Obstet Gynecol Neonatal Nurs,2004,33(2):209-220.
[4]乐 杰.妇产科学[M].第7版.北京:人民卫生出版社,2008:147-153.
[5]Ahemose GT,Buxton AE.Idiopathic ventricular tachycardia[J].Annu Rev Med,1999,50:159-177.

备注/Memo

备注/Memo:
收稿日期：2015-09-15.
作者简介：许淑淑，住院医师，硕士生 Email：xu.shu.shu@163.com
更新日期/Last Update: 2016-04-13