摘要
目的观察癫痫发作后J波综合征的分布特征及其相关因素。方法搜集2015年6月~2016年6月在陕西省人民医院住院的癫痫发作出现J波综合征患者35例,与同期入院癫痫发作心电图无变化的患者35例为对照组,做对比分析。结果 35例癫痫患者出现J波综合征,J波明显7例(占20%),JT部分融合J波尚可辨认12例(占34%),JT完全融合,J波不可分辨16例(占46%)。其中下壁导联出现J波者17例(占49%),前壁导联出现J波18例(占51%)。J波综合征组与对照组对比,超敏C反应蛋白(hs-CRP)具有统计学差异[(5.4±0.9)mmol/L vs.(3.3±0.7)mmol/L,P<0.05],余无统计学差异。Pearson相关性分析示癫痫患者出现J波综合征与hs-CRP具有相关性(r=0.28,P=0.036)。结论癫痫发作2~3 min后部分患者出现J波综合征,J波形态多样,出现在下壁和前壁导联,J波综合征的相关因素是hs-CRP。
AIM To analyze the distribution characteristics and related factors of epilepsy with J wave syndrome. METHODS Thirty-five epilepsy patients with J wave syndrome from June 2015 to June 2016 were compared with 35 epilepsy patients without J wave syndrome. RESULTS Among the 35 epilepsy patients with J wave syndrome, the J wave identified in 12 patients （34%） with partial was obvious in 7 patients （20%）, the J wave could still be fusion of J wave and T wave. The J wave could not be identified in 16 patients （46%） with total fusion of J wave and T wave. The inferior leads showed J wave in 17 patients （49%） and anterior leads showed J wave in 18 patients （51%）. Significant differences were found in hsCRP between the group of J wave and group of no J wave [ （5.4 ± 0.9 ） mmol/L vs. （3.3 ± 0.7 ） mmol/L, P 〈 0. 05 ]. Pearson correlation analysis showed hs-CRP was associated with J wave syndrome in patients with epilepsy （ r = 0. 28, P = 0. 036）. CONCLUSION J wave syndrome occurs in some patients 2 - 3 minutes after epilepsy. J wave occurs in the inferior wall and the anterior wall. hs-CRP was associated with J wave syndrom in patients with epilepsy.
出处
《心脏杂志》
CAS
2017年第6期685-687,共3页
Chinese Heart Journal
关键词
癫痫
J波综合征
心电图
epilepsy
J wave syndrome
electrocardiogram
