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正常儿童心电图Tp-Te间期分析

The analysis of the electrocardiographic Tpeak-Tend interval for children

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【作者】 冯应君李华义陈凤莲苏少芬叶培机谭景王婷

【Author】 Feng yingjun, Li huayi,Chen fenglian, Su shaofen, Ye peiji, Tan jing, Wang ting. Department of Physical Diagnosis, Yuebei People’s Hospital of Guangdong Province, Shaoguan,512026,China. *YanQiao Subsidiary Hospital of Hu Bei University of medicine,Shiyan,442000,China.

【机构】 广东省韶关市粤北人民医院湖北省十堰市湖北医药学院附属堰桥医院

【摘要】 目的了解性别、年龄对0 ̄12岁儿童Tp-Te间期的影响,建立该年龄段儿童Tp-Te间期的参考值范围。方法 320例心电图正常的0 ̄12岁儿童作为研究对象,并按照年龄分为0~3岁、4~6岁,7~9岁,10~12岁组,各组内分男女亚组。测量研究对象12导联心电图Tp-Te间期,取每例研究对象V2~V4导联最大Tp-Te间期为研究指标,并用Bazett公式对Tp-Te间期进行校正。对不同性别、不同年龄组间Tp-Te间期和校正Tp-Te间期进行比较,并求其Tp-Te间期的参考值范围。结果各组内不同性别间心率、Tp-Te间期和校正Tp-Te间期的比较显示,组间均无显著性差异;相同性别Tp-Te间期在0~3岁组和4~6岁组间、7~9岁组和10~12岁组均无显著性差异,而0~3岁、4~6岁组显著低于7~9岁组和10~12岁组;校正Tp-Te间期在女性各年龄组间无显著性差异;在男性10~12岁组高于0~3岁组和4~6岁组,其他各年龄组间无显著性差异;Tp-Te间期正常值参考范围为:0 ̄6岁49.3 ̄112.3ms,7 ̄12岁62.9 ̄119.2ms;校正Tp-Te间期正常值参考范围为:0 ̄6岁63.6 ̄141.2ms,7 ̄12岁71.5 ̄141.3ms;结论 0~12岁儿童性别对Tp-Te间期和校正Tp-Te间期没有影响,随年龄增长,Tp-Te间期延长而校正Tp-Te间期变化不大。Tp-Te参考值上限为0 ̄6岁112.3ms,7 ̄12岁119.2ms;校正Tp-Te参考值上限为0 ̄12岁141.3ms。

【Abstract】 Objective To comprehend how sex and age influence the electrocardiographic Tp-Te interval for 0~12 year-old children, and to definite normal value of Tp-Te interval. Methods 320 healthy children with normal electrocardiogram were divided to 4 groups, and man and women subgroup. Tp-Te interval was measured in 12 leads electrocardiogram, and the maxium Tp-Te interval of V2~V4 were adopted and corrected with Bazett’s formula (Tp-Tec). Results Heart rate, Tp-Te and Tp-Tec were not different between women and man in every group (p>0.05). Tp-Te was not different between 0~3 year-old group and 4~6 year-old group (p>0.05) and between 7~9 year-old group and 10~12 year-old group (p>0.05) in women or man; Tp-Te of 0~3 year-old group and 4~6 year-old group was less than that of 7~9 year-old group and 10~12 years-old group (p<0.01) in woman and man; Women’s Tp-Tec was not different among all groups(p>0.05), Men’s Tp-Tec was more in 10~ 12 year-old group than that of 0~3 year-old group, and 4~6 years-old group (p<0.05), but among other group, men’s Tp-Tec was not different (p>0.05). The normal values of Tp-Te was as follows: 49.3~112.3ms in 0~6 years-old, 62.9~119.2ms in 7~12 year-old; the normal Values of Tp-Tec was as follows: 63.6~141.2ms in 0~6 year-old, 71.5~141.3ms in 7~12 year-old. Conclusion In children of 0~12 year-old, sex did not influence Tp- Te. Tp-Te prolonged with ageing, but Tp-Tec had no change. The top limit of Tp-Te normal values was definite 112.3ms in 0~6 years-old and 119.2ms in 7~12 years-old, the top limit of Tp-Tec normal values was definite 141.3ms in 0~12 years-old.

【关键词】 心电图Tp-Te间期导联
【Key words】 electrocardiogramintervallead
  • 【文献出处】 临床心电学杂志 ,Journal of Clinical Electrocardiology , 编辑部邮箱 ,2012年04期
  • 【分类号】R725.4
  • 【被引频次】3
  • 【下载频次】74
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