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儿童心电图T波异常改变的调查及其影响因素分析

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目的 探究心内科患儿心电图T波异常改变的现状及其影响因素.方法 采用回顾性研究的方法,选取湖南省儿童医院心内科2019年1月至2023年12月收治的3 571例患儿为研究对象,根据是否发生心电图T波异常改变分为两组:T波异常组(n=749)和对照组(n=2 822).分析心电图T波异常的类型、年龄分布、性别比例等指标,并通过统计学方法进行相关性分析,探究可能的影响因素.结果 共纳入3 571例心内科患儿,其中T波异常的患儿749例(20.97%).发生T波异常的主要心内科疾病为心包炎350例(46.73%),其次为心肌炎/心肌病157例(20.96%).两组患儿的性别、年龄比较差异无统计学意义(P>0.05).T波异常组体质量超重的占比较高,差异有统计学意义(P<0.05).T波异常组中呼吸系统疾病、消化系统疾病、神经性疾病、感染性疾病的占比较高,差异有统计学意义(P<0.05).Logistic回归分析统计学结果显示,体质量(超重)、合并呼吸系统疾病/消化系统疾病/神经性疾病、心包炎、心肌炎/心肌病是心内科患儿心电图T波异常改变的独立危险因素.结论 心内科患儿心电图T波异常改变较为常见,心包炎、心肌炎/心肌病更容易出现此类异常.同时合并呼吸系统疾病、消化系统疾病、神经性疾病的患儿也需引起注意,其发生心电图T波异常改变的风险也较高.
Investigation in abnormal changes of T wave in electrocardiogram of children and the influencing factors
Objective To investigate the status quo and influencing factors of abnormal changes of T-wave in electrocardiogram of children in the department of cardiology.Methods A retrospective study was used.A total of 3 571 children were chosen as the study subjects,who were admitted to the Department of Cardiology of Hunan Children's Hospital from January 2019 to December 2023,and they were divided into abnormal T-wave group(n=749)and control group(n=2 822)according to whether they had abnormal T-wave or not.The types of T wave abnormalities,age distribution,gender ratio and some other indicators were analyzed,and correlation analysis was carried out by statistical methods to explore the possible influencing factors.Results A total of 3 571 children in the Department of Cardiology were included,including 749(20.97%)with abnormal T-wave.T-wave abnormalities occurred mainly in 350 cases of pericarditis(46.73%),followed by 157 cases of myocarditis/cardiomyopathy(20.96%).There was no statistically significant difference in gender or age between the two groups(P>0.05).The proportion of overweight in the abnormal T-wave group was higher,and there was statistically significant difference(P<0.05).The proportion of respiratory system diseases,digestive system diseases,neurological diseases and infectious diseases in abnormal T-wave group was higher,the difference being statistically significant(P<0.05).Logistic regression analysis showed that body mass(overweight),combination with respiratory diseases/digestive diseases/neurological diseases,pericarditis,and myocarditis/cardiomyopathy were independent risk factors for abnormal changes of T-wave in electrocardiogram of children in the Department of Cardiology(P<0.05).Conclusion Abnormal changes of T wave in electrocardiogram are more common in children in the cardiology department,and the children with pericarditis and myocarditis/cardiomyopathy are more prone to such abnormalities.Meanwhile,attention should also be paid to the children with respiratory diseases,digestive diseases,and neurological diseases,for the risk of abnormal changes of T-wave in their electrocardiograms is also higher.

Abnormal T-wave in electrocardiogramDepartment of cardiologyInfluencing factorsChild

何涛、姚招、朱通球

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410007 长沙,中南大学湘雅医学院附属儿童医院(湖南省儿童医院)心血管内科

410007 长沙,中南大学湘雅医学院附属儿童医院(湖南省儿童医院)麻醉手术室

心电图T波异常 心内科 影响因素 儿童

2024

中国中西医结合儿科学
中国医师协会,辽宁省基础医学研究所,辽宁中医药大学附属医院

中国中西医结合儿科学

影响因子:1.03
ISSN:1674-3865
年,卷(期):2024.16(6)