刘红平,刘学蓉,陈松涛,唐海桃,方方.甘肃省哈萨克族人群心电图特征及其异常改变的危险因素[J].中华老年多器官疾病杂志,2022,21(1):40~44 |
甘肃省哈萨克族人群心电图特征及其异常改变的危险因素 |
Electrocardiography characteristics and related risk factors in Kazak population in Gansu province |
投稿时间:2021-02-24 |
DOI:10.11915/j.issn.1671-5403.2022.01.009 |
中文关键词: 心肌缺血 哈萨克族 心电图 危险因素 |
英文关键词:myocardial ischemia Kazak electrocardiography risk factors Corresponding author:FANG Fang, E-mail:401505331@qq.com〖FL |
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中文摘要: |
目的 探讨甘肃省哈萨克族人群心电图特征及其异常改变的危险因素。方法 选择2020年1月至12月在阿克塞县医院进行健康体检、年龄>40岁的846名哈萨克族人(研究组)和846名汉族人(对照组)为研究对象。分析2组人群基线资料和常规12导联心电图ST段及T波改变特征,比较研究组人群心电图ST段偏移、延长及T波改变在各年龄段的患病率。采用SPSS 22.0统计软件进行数据分析。根据数据类型,分别采用t检验或χ2检验进行组间比较。采用logistic多因素回归分析心电图ST段偏移、延长及T波改变的危险因素。结果 2组患者体质量指数(BMI)、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、总胆红素(TBIL)、直接胆红素(DBIL)、尿酸(UA)、同型半胱氨酸(Hcy)、饮酒史及心电图ST段偏移、延长及T波改变患病率比较,差异均有统计学意义(均P<0.05)。哈萨克族人群年龄增加10岁则ST段及T波改变的发生率逐渐升高(P<0.05)。logistic 多因素回归分析显示,年龄增加10岁、BMI、SBP、DBP、TC、LDL-C、UA、Hcy水平升高,TBIL、DBIL水平下降及饮酒史是引发哈萨克族人群心电图ST段偏移、延长及T波改变的独立危险因素(P<0.05)。结论 哈萨克族人群常规心电图ST段偏移、延长及T波异常检出率较汉族人群高,年龄增加10岁、肥胖、血压、生化指标异常是导致其异常改变的危险因素。心电图的异常改变结合生化检查及临床资料,对人群缺血性心脏病的初筛有重要临床价值。 |
英文摘要: |
Objective To explore the electrocardiography (ECG) characteristics in Kazak population in Gansu Province, and investigate the related risk factors for abnormal changes of ECG parameters. Methods A total of 846 Kazak people (study group) and 846 Han people (control group) were recruited from the over 40-year-old participants who taking physical examination in Aksai People′s Hospital from January to December 2020. The baseline data and characteristics of ST-segment and T-wave changes in routine 12-lead ECG were analyzed in the two groups. The prevalence of ST-segment shift and prolongation and T-wave changes in the study group was compared in each age group. SPSS statistics 22.0 was used for statistical analysis. Data comparison between two groups was performed using student′s t test or Chi-square test depending on different data types. Multivariate logistic regression analysis was employed to analyze the risk factors for ST-segment shift and prolongation and T-wave changes. Results There were significant differences in body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), total bilirubin (TBIL), direct bilirubin (DBIL), uric acid (UA), homocysteine (Hcy), history of drinking and incidence rates of ST-segment shift and prolongation and T-wave changes between two groups (all P<0.05). In the Kazak group, the incidence of ST-segment and T-wave changes was increased with 10 years of age increase. Multivariate logistic regression analysis showed that age increased by 10 years, increased BMI, SBP, DBP, TC, LDL-C, UA and Hcy levels, decreased TBIL and DBIL levels and history of alcohol drinking were independent risk factors for ST-segment shift and prolongation and T-wave changes in Kazakh group (P<0.05). Conclusion The detection rate of ST-segment shift and prolongation and T-wave abnormality in Kazak people is quite higher than that of Han people. The risk factors of abnormal changes are age increase of 10 years, obesity, abnormal blood pressure and biochemical indicators. Attention should be paid to the abnormal changes of ECG in the population, and combining biochemical examination and clinical data has an important clinical value for screening ischemic heart disease. |
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