[1]陈 娟,吴湘杰△.不同胎龄新生儿肢体导联QRS波群型态特点研究[J].陕西医学杂志,2020,49(6):724-727.[doi:DOI:10.3969/j.issn.10007377.2020.06.021]
　CHEN Juan,WU XiangJie..Characteristics of QRS wave pattern in limb leads of neonates with different gestational age[J].,2020,49(6):724-727.[doi:DOI:10.3969/j.issn.10007377.2020.06.021]
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不同胎龄新生儿肢体导联QRS波群型态特点研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年6期
页码:
724-727
栏目:
临床研究
出版日期:
2020-06-05

文章信息/Info

Title:
Characteristics of QRS wave pattern in limb leads of neonates with different gestational age
作者:
陈 娟; 吴湘杰△
西安市第四医院功能检查科(西安 710004)
Author(s):
CHEN Juan; WU XiangJie.
Department of Functional Examination,Xi'an Fourth Hospital(Xi'an 710004)
关键词:
新生儿;  早产儿;  胎龄;  心电图;  QRS型态;  Q波出现率;  肢体导联
Keywords:
Neonate;  Premature infant;  Gestational age;  Electrocardiogram;  QRS pattern;  Q wave incidence;  Limb lead
分类号:
R444
DOI:
DOI:10.3969/j.issn.10007377.2020.06.021
文献标志码:
A
摘要:
目的:比较不同胎龄新生儿同步12导联心电图肢体QRS波型态及各肢体导联Q波出现率的差异,为新生儿心电图诊断提供参考依据。方法:收集早产儿(胎龄<37周)68例和足月儿51例常规12导联心电图,根据胎龄分为三组,A组(30周≤胎龄<33 周)32例,B组(33周≤胎龄<37周)36例,C组(37周≤胎龄≤40周)51例; 对比心电图检查结果。结果:三组新生儿Ⅰ、avL导联多见负向S波占优势的rS型,Ⅱ、Ⅲ、avF、avR导联以正向R波占优势的qR、Rs型多见; 新生儿额面导联Q波多出现在Ⅱ、Ⅲ、avF、avR导联,且Ⅲ、avF导联Q波出现率明显高于Ⅱ导联,avR导联Q波出现率接近于III导联; 随着出生时胎龄的增加,各组Q波出现率明显增大。结论:新生儿Ⅰ、avL导联QRS波群以负向S波为主,Ⅱ、Ⅲ、avF、avR导联以正向R波为主; 随出生时胎龄不同,其肢体导联QRS型态具有多样性,Ⅱ、Ⅲ、avF、avR导联Q波出现率随胎龄增加而呈上升趋势。
Abstract:
Objective:To compare the difference of QRS wave pattern and Q wave occurrence rate of limb leads of synchronous 12-lead electrocardiogram(ECG)in neonates with different gestational age,and to provide reference for neonatal electrocardiogram diagnosis.Methods:The routine 12-lead ECG of 68 premature infants(gestational age<37 weeks)and 51 full term infants were collected.According to gestational age,they were divided into group A(30 weeks≤ gestational age <33 weeks,32 cases),group B(33 weeks ≤ gestational age <37 weeks,36 cases)and group C(37 weeks ≤ gestational age ≤ 40 weeks,51 cases).The routine 12-lead ECG was performed in each group of newborns within 1 hour after birth,and the results were compared.Results:In the three groups,negative S wave(rS type)predominated in Ⅰ and avL leads,while positive R wave(qR type and Rs type)predominated in Ⅱ,Ⅲ,avF and avR leads.The Q wave of the frontal lead of the newborn usually appeared inⅡ,Ⅲ,avF and avR leads,and the incidence of Q wave in Ⅲ and avF leads was significantly higher than that in Ⅱ lead,and the incidence of Q wave in avR lead was close to that in Ⅲ lead.With the increase of gestational age at birth,the incidence rate of Q wave in each group was significantly increased.Conclusion:Negative S wave predo minated in Ⅰ and avL leads,while positive R wave predominated in Ⅱ,Ⅲ,avF and avR leads.The QRS pattern of limb lead varies with different gestational age at birth.The incidence rate of Q wave is increased with the increase of gestational age.

参考文献/References:

[1] 谢振武,王 成,郭 青,等.中国人心电图QRS波调查及临床应用[J].医学研究通讯,2004,33(6):24.
[2] Semizel E,Oztürk B,Bostan OM,et al.The effect of age and gender on the electrocardiogram in children[J].Cardiology Young,2008,18(1):26-40.
[3] 周 弋,李 奋,孙 锟,等.健康婴幼儿及儿童QRS波的比较研究[J].临床儿科杂志,2009,27(1):51-57.
[4] 沈定荣,姜大明,金 晨,等,8016名健康儿童心电图分析[J].新医学,2017,48(8):535-540.
[5] 卢安华,林 鉴,蔡 劲,等.不同胎龄新生儿同步12导联心电图QRS振幅及T波的意义[J].中国妇幼健康研究,2016,27(2):200-202.
[6] 程 红.不同胎龄新生儿心电图P-R间期、QRS时限以及QTLc的特点[J].东南大学学报:医学版,2015,34(5):788-791.
[7] 廖小香.不同胎龄新生儿心电图T波与胎龄增长相关性分析[J].中国妇幼保健,2014,29(5):733-735.
[8] 常规心电图检查操作指南编写专家组.常规心电图检查及操作指南[J].实用心电学杂志,2019,28(22):1-6.
[9] 《心电图测量技术指南》编写专家组.心电图测量技术指南[J].实用心电学杂志,2019,28(2):77-86.
[10] 黄 瑞,穆玉明.健康孕妇及其胎儿在中晚孕期心功能变化的相关性研究[J].陕西医学杂志,2015,44(6):667-668.
[11] 周英华、魏亚娟、穆世刚,等.正常胎儿不同孕周房室腔及大血管参数的超声心动图检测[J].临床超声医学杂志,2015,1(17):50-53.
[12] 段亚琴,张丙宏.围产期新生儿心室生长变化的超声定量分析[J].中国妇幼健康研究,2015,26(3):488-490.
[13] 刘 鸿,周 洁,顾海涛,等.早产新生儿心脏几何形态学和血流动力学的超声影像学评估[J].中国循环杂志,2015,30(11):1081-1085.
[14] 樊小虎.超声心动图评价早产新生儿心脏结构及心功能变化的研究[J].中国医药指南,2018,16(14):144-145.
[15] 梁翊常,袁 越.实用小儿心电图学[M].3版.北京:人民卫生出版社,2018:15-46.
[16] 王博雄,张子友,吉张艳.小剂量多巴胺治疗窒息后肾损害临床疗效及对新生儿呼气峰流速值、心率、平均动脉压水平影响[J].陕西医学杂志,2019,48(1):105-107.
[17] 左 晋,高 原,单兆亮,等.心电图筛查新生儿心肌损伤及其与宫内缺氧相关性的研究[J].西南国防医药,2016,26(08):868-870.
[18] 李 梅,李晓丽.卡托普利联合小剂量胺碘酮对病毒性心肌炎合并室性心律失常患儿心电图、心肌损伤标记物和心功能的影响[J].陕西医学杂志,2018,47(11):1496-1499.

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更新日期/Last Update: 2020-07-28