中国全科医学2017，Vol.20Issue(11)：1309-1313,5.DOI:10.3969/j.issn.1007-9572.2017.11.007
老年2型糖尿病患者室性期前收缩特点研究
Features of Ventricular Premature Beats in Elderly Type 2 Diabetic Patients
摘要
Abstract
Objective To analyze the features of ventricular premature beats (VPBs) in elderly type 2 diabetic mellitus (T2DM) patients so as to provide a basis for clinical monitoring and treatment.Methods Of the people underwent routine electrocardiogram (ECG) in the Second Affiliated Hospital of Zhengzhou University from March 2014 to September 2015,we selected 138 elderly T2DM patients and 102 physical examinees who were found with VPBs as the case group and control group,respectively.Both groups were monitored by 12-lead synchronous dynamic ECG for 24 hours.The frequency and original sites of VPBs occurred in both groups were recorded and analyzed to find whether the subjects had abnormal turbulence onset (TO),turbulence slope (TS) and heart rate deceleration runs (DRs).Results The ratio of subjects had more than 100 VPBs within 24 h was higher in the case group than in the control group [79.0％ (109/138) vs.66.7％ (68/102),P ＜ 0.05].Compared with the control group,the case group had more VPBs occurring within 0:00-5:59 and 18:00-23:59,while less VPBs occurring within 6:00-11:59 (P ＜0.05),higher ratio of VPBs originating from left ventricular apex and lower ratio of VPBs originating from right ventricular outflow tract (P ＜ 0.05),and higher incidences of abnormal TO,TS and DRs (P ＜ 0.05).The case group had more VPBs occurring within 0:00-5:59 than those occurring within 6:00-11:59,12:00-17:59,and 18:00-23:59 (P ＜ 0.05).Conclusion VPBs occur in elderly T2DM patients more frequently especially in early morning,which mainly originate from the left ventricular apex,and have a higher rate of abnormal HRT and DRs.关键词
室性早搏复合征/糖尿病,2型/老年人/窦性心率震荡/连续心率减速力Key words
Ventricular premature complexes/Diabetes mellitus, type 2/Aged/Heart rate turbulence/Heart rate deceleration runs分类
医药卫生引用本文复制引用
何晓丹,吕聪敏,杜琼颖,田晨光,胡云霞..老年2型糖尿病患者室性期前收缩特点研究[J].中国全科医学,2017,20(11):1309-1313,5.基金项目
河南省郑州市科技局基金资助项目(141PPTGG446) （141PPTGG446）
