首页|2型糖尿病患者不同部位室性早搏发生率及连续心率减速力研究

2型糖尿病患者不同部位室性早搏发生率及连续心率减速力研究

扫码查看
目的 针对2型糖尿病患者不同部位室性早搏发生率及连续心率减速力进行分析。方法 将2022年1-12月在本院接受治疗的156例经动态心电图检查发现存在室性早搏的2型糖尿病患者作为观察组,将同一时期于本院进行动态心电图检查发现存在室性早搏的健康体检者112例作为对照组。所有研究对象均采用动态心电图分析系统进行检查,对所有患者的24h动态心电图检查结果进行记录、回放,观察组患者另外给予降糖治疗,治疗时间为2个月,随访1个月。结果 比较两组研究对象心电图检查结果后得出,对照组房室传导阻滞、心房颤动、ST-T段改变、窦性心动过速发生率较观察组治疗前、治疗后均更低,而观察组治疗后各项异常情况发生率均较治疗前更低;比较观察组治疗前后各部位室性早搏发生率得出,治疗后的右心室心尖部、右心室流出道、左心室心尖部、左心室流出道的室性早搏发生率均较治疗前更低;比较观察组治疗前后不同部位室性早搏的连续心率减速力特点得出,观察组患者治疗前、治疗后的左心室流出道DRs异常率均高于右心室流出道、右心室心尖部、左心室心尖部,数据在统计学中存在显著差异(P<0。05)。结论 2型糖尿病患者较易出现心电图异常情况,而有效的降糖治疗可将其心电图异常情况发生率降低,其左心室流出道相对于其他部位更易发生恶性心律失常,具有较高的猝死风险,临床应高度重视2型糖尿病患者的心脏功能,给予及时、有效的治疗,提高患者生存率,改善预后。
Study on Incidence of Ventricular Premature Beats And Continuous Heart Rate Retarding Force in Different Parts of Type 2 Diabetes Patients
Objective To analyze incidence of ventricular premature beats in different parts of patients with type 2 diabetes and deceleration force of continuous heart rate.Methods The paper chose 156 patients with type 2 diabetes in our hospital from January 2022 to December 2022 as observation group for study,and 112 healthy middle-aged and elderly physical examinees with ventricular premature beats in the same period as control group.All study subjects were examined with dynamic electrocardiogram analysis system(Hangzhou Baihui Medical Equipment Co.,Ltd.,Zhejiang Machinery Registration No.20192070122,Specification:CT-083S),24-hour dynamic electrocardiogram results were recorded and replayed.Observation group was additionally treated with hypoglycemic treatment,with treatment period of 2 months and follow-up of 1 month.Results Comparison of electrocardiogram examination between two study groups showed,incidence of atrioventricular block,atrial fibrillation,ST-T segment changes,and sinus tachycardia in control group was lower than observation group before and after treatment,while incidence of various abnormal situations in observation group was lower than before treatment.Comparison of incidence of premature ventricular contractions in various parts of observation group before and after treatment showed,incidence of premature ventricular contractions in right ventricular apex,right ventricular outflow tract,left ventricular apex,and left ventricular outflow tract after treatment was lower than before treatment.Comparison of continuous heart rate deceleration force characteristics of ventricular premature beats in different parts of observation group before and after treatment showed,abnormal rates of DRs in left ventricular outflow tract before and after treatment were higher than right ventricular outflow tract,right ventricular apex,and left ventricular apex in observation group,data were significant different statistically,(P<0.05).Conclusion Type 2 diabetes patients may have abnormal ECG likely,effective hypoglycemic treatment can reduce incidence of abnormal ECG.Compared with other parts,left ventricular outflow tract is more likely to have malignant arrhythmia,with higher risk of sudden death.Clinical attention should be paid to heart function of patients with type 2 diabetes,timely and effective treatment should be provided to improve survival rate and prognosis of patients.

Type 2 diabetesVentricular premature beatsContinuous heart rate deceleration force

孙颖锋

展开 >

山西省汾阳医院 心血管内科心功能室,山西 汾阳 032200

2型糖尿病 室性早搏 连续心率减速力

山西省汾阳医院科技攻关计划

2021-2022-06

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(5)
  • 12