【摘要】 目的探讨急性脑出血致脑心综合征的交感神经皮肤反应及动态心电图的改变及临床意义。方法对38例急性脑出血患者行交感神经皮肤反应(SSR)及动态心电图(DCG)检查,并与20例健康志愿者进行对照。结果急性期心电图改变类型最常见的为ST-T改变,幕上及幕下出血异常率分别为71.4%、94.1%;其次为心律失常,幕上及幕下出血异常率分别为61.9%、94.1%。脑心综合征组在急性期SSR与对照组比较,差异有统计学意义(P<0.01),急性期SSR主要表现为潜伏期延长、波幅降低或波形缺失,与对照组比较差异有统计学意义(P<0.01),其中脑心综合征组中幕上出血患者的SSR双侧异常率为33.3%,单侧为52.4%,单侧异常更显著(P<0.05);幕下出血SSR双侧异常率为52.4%,单侧为23.5%,单侧异常更显著(P<0.01)。结论急性脑出血致脑心综合征患者SSR及心电图异常发生率较高,对其测定可能有助于脑心综合征的诊治及病情的判断。更多还原

【Abstract】 Objective To investigate the characteristics of SSR and DCG in the patients with acute intracerebral hemorrhagic disease.Methods SSR and DCG examinations were done in 38 cases of the patients with acute intracerebral hemorrhagic disease,and compared with 20 healthy controls.Results The most common change in DCG after cerebral hemorrhage was ST-T alteration.There was statistic significance in group of hemorrhage at SSR than that in group of the controls.Conclusion SSR and DCG examinations were helpful to the diagnosis and prognosis of patients with the cerebrocardiac syndrome after acute intracerebral hemorrhagic disease.更多还原