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妊高征产妇产程中动态心电图监测的分析

Analysis of continuous electrocardiogram monitoring for parturients with pregnancy induced hypertension during labour.

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【摘要】 我院对1992年3月至1992年9月间分娩的24例妊高征产妇和40例非妊高征产妇产程中进行动态心电图检查。经分析发现妊高征产妇无论在第一、二、三产程及产后12小时各期中,其平均心率及最快心率均高于对照组10次/分左右。妊高征产妇每例平均异常4.03±1.17项次高于对照组3.08±1.38项次,其差异有显著性(P<0.05)。认为心律失常和 ST—T异常均呈一过性改变,系由于妊高征产妇全身小动脉痉挛,尤其是冠状动脉痉挛,心肌暂时性供血不足及心脏负荷加重所致。

【Abstract】 Electrocardiogram (ECG) monitoring was performed for 24 patients with pregnancy induced hypertention (PIH)and 40 pregnant women without the disease during labour in this hospital from March 1992 to September 1992.Analysis showed that both the ave age and maximum heart rate of the patients with PIH were 10 bpm higher than those of the nonhypertensive patients.The authors suggested that the arrhythmia and abnormality of ST-T segment were transient and were possibly caused by the spasm of arterioles,espe- cially that of coronary artery,temperary diminution of blood supply to myocardium,and overwork of the heart.

  • 【文献出处】 中国实用妇科与产科杂志 ,Chinese Journal of Practical Gynecology and Obstetrics , 编辑部邮箱 ,1995年01期
  • 【分类号】R714.2
  • 【被引频次】10
  • 【下载频次】21
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