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|本期目录/Table of Contents|

癫痫发作后J波综合征的分布特征及其相关因素

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2017年第6期
页码:
685-687
栏目:
临床研究
出版日期:
2017-06-01

文章信息/Info

Title:
Analysis of distribution characteristics and related factors of epilepsy with J wave syndrome
作者:
刘 博1; 潘 硕1; 徐 晶1; 王军奎1; 姜 馨1; 马爱群2
(1.陕西省人民医院心内科，陕西 西安 710068;
2.西安交通大学第一附属医院心内科，陕西 西安 710061)
Author(s):
LIU Bo1;  PAN Shuo1;  XU Jing1;  WANG Jun-kui1;  JIANG Xin1;  MA Ai-qun2
(1.Department of Cardiology, Shaanxi Provincial People’s Hospital, Xi’an 710068, Shaanxi, China;
2.Department of Cardiology, First Affiliated Hospital, Medical College, Xi’an Jiaotong University, Xi’an 710061, Shaanxi, China)
关键词:
癫痫; J波综合征; 心电图
Keywords:
epilepsy;  J wave syndrome;  electrocardiogram
分类号:
R540.4
DOI:
-
文献标识码:
A
摘要:
目的 观察癫痫发作后J波综合征的分布特征及其相关因素。方法 搜集2015年6月~2016年6月在陕西省人民医院住院的癫痫发作出现J波综合征患者35例，与同期入院癫痫发作心电图无变化的患者35例为对照组，做对比分析。结果 35例癫痫患者出现J波综合征，J波明显7例（占20%），JT部分融合J波尚可辨认12例（占34%），JT完全融合，J波不可分辨16例（占46%）。其中下壁导联出现J 波者17例（占49%），前壁导联出现J波18例（占51%）。J波综合征组与对照组对比，超敏C反应蛋白（hs-CRP）具有统计学差异〔(5.4±0.9) mmol/L vs.（3.3±0.7）mmol/L，P<0.05〕，余无统计学差异。Pearson相关性分析示癫痫患者出现J波综合征与hs-CRP具有相关性（r=0.28,P=0.036）。结论 癫痫发作2~3 min后部分患者出现J波综合征，J波形态多样，出现在下壁和前壁导联,J波综合征的相关因素是hs-CRP。
Abstract:
AIM To analyze the distribution characteristics and related factors of epilepsy with J wave syndrome. METHODS Thirty-five epilepsy patients with J wave syndrome from June 2015 to June 2016 were compared with 35 epilepsy patients without J wave syndrome. RESULTS Among the 35 epilepsy patients with J wave syndrome, the J wave was obvious in 7 patients (20%), the J wave could still be identified in 12 patients (34%) with partial fusion of J wave and T wave. The J wave could not be identified in 16 patients (46%) with total fusion of J wave and T wave. The inferior leads showed J wave in 17 patients (49%) and anterior leads showed J wave in 18 patients (51%). Significant differences were found in hsCRP between the group of J wave and group of no J wave ［(5.4±0.9) mmol/L vs.(3.3±0.7) mmol/L, P<0.05］. Pearson correlation analysis showed hs-CRP was associated with J wave syndrome in patients with epilepsy (r=0.28, P=0.036). CONCLUSION J wave syndrome occurs in some patients 2-3 minutes after epilepsy. J wave occurs in the inferior wall and the anterior wall. hs-CRP was associated with J wave syndrom in patients with epilepsy.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2016-08-29.
通讯作者：马爱群，教授，主要从事心脏离子通道病研究 Email:maaiqun@medmail.com.cn
作者简介：刘博，主治医师，硕士生 Emali:liuboxnk@126.com
更新日期/Last Update: 2017-06-06