摘要
目的探讨湖北省健康人群心电图ST段和T波改变及其影响因素。方法共纳入1 200例健康人群,均行12导联心电图进行检测,观察是否有心电图ST段和T波的改变,并以此分为两组,记录两组患者相关信息,应用非条件Logistic回归分析进行多因素分析。结果 1 200例健康人群中有200例(16.7%)出现ST段和T波的改变,其中男性70例,女性130例,平均年龄(46±8)岁;1 000例(83.3%)未出现ST段和T波的改变,其中男性600例,女性400例,平均年龄(45±9)岁。单因素分析结果表明:两组间年龄≥45岁、高血压病史、糖尿病史、收缩压、舒张压、TG、TC、HDL-C及LDL-C比较差异有统计学意义(P<0.05);进一步行多因素分析结果表明:年龄≥45岁、糖尿病史是健康人群发生ST段和T波改变的独立危险因素(P<0.05)。结论健康人群可以出现ST段和T波的改变,年龄≥45岁、糖尿病史是其发生的独立危险因素,因此对出现ST段和T波改变的该类患者要积极控制相关危险因素,可能降低冠心病的发生率。
Objective To explore electrocardiographic ST segment and T wave changes and its influencing factors among healthy people in Hubei Province. Methods A total of 1,200 healthy individuals were enrolled in the study. Routine 12 lead ECG was performed in all participants to identify ST segment and T wave alterations. According to the examination results, all participants were divided into two groups, and the related information of the two groups was recorded. Multivariate unconditional Logistic regression analysis was performed by all factors. Results Among all participants, 16.7 % （200/1,200） showed ST segment and T wave alterations, including 70 men and 130 women, with an average age of （46± 8） years. 1,000 （83.3%） participants showed no ST segment and T wave changes, including 600 men and 400 women, with an average age of （45 ± 9） years. The results of single factor analysis showed that there were statistically significant differences in ≥45 years old, the history of hypertension and diabetes, systolic blood pressure, diastolic blood pressure, TG, TC, HDL - C, and LDL - C between the two groups （ P 〈 0.05）. The results of multi - factor analysis showed that ≥45 years old and the history of diabetes were the in- dependent risk factors for ST segment and T wave alterations in healthy population. Conclusions ST segment and T wave changes may occur in healthy people,≥45 years old and the history of diabetes are the independent risk factors for the alter- ations; hence the related risk factors should be positively controlled in people with the changes, which may reduce the incidence rate of coronary heart disease.
出处
《实用预防医学》
CAS
2012年第8期1220-1221,共2页
Practical Preventive Medicine
关键词
健康人群
心电图
ST段
T波
Healthy population
Electrocardiogram
ST segment
T wave
