ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2024, Vol. 16 ›› Issue (6): 513-517.doi: 10.3969/j.issn.1674-3865.2024.06.011

• 临床研究 • 上一篇    下一篇

儿童心电图T波异常改变的调查及其影响因素分析

何涛, 姚招, 朱通球   

  1. 410007 长沙，中南大学湘雅医学院附属儿童医院（湖南省儿童医院）心血管内科（何涛，朱通球），麻醉手术室（姚招）
  • 收稿日期:2024-03-20 修回日期:2024-04-25 出版日期:2024-12-25 上线日期:2024-12-25
  • 通讯作者: 朱通球，E-mail:1394264543@qq.com

Investigation in abnormal changes of T wave in electrocardiogram of children and the influencing factors

HE Tao，YAO Zhao，ZHU Tongqiu   

  1. The Affiliated Children′s Hospital of Xiangya School of Medicine,Central South University（Hunan Children′s Hospital),Changsha 410007,China
  • Received:2024-03-20 Revised:2024-04-25 Published:2024-12-25 Online:2024-12-25
  • Contact: ZHU Tongqiu，E-mail:1394264543@qq.com

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摘要： 目的：探究心内科患儿心电图T波异常改变的现状及其影响因素。方法：采用回顾性研究的方法，选取湖南省儿童医院心内科2019年1月至2023年12月收治的3 571例患儿为研究对象，根据是否发生心电图T波异常改变分为两组：T波异常组（n=749）和对照组（n=2 822）。分析心电图T波异常的类型、年龄分布、性别比例等指标，并通过统计学方法进行相关性分析，探究可能的影响因素。结果：共纳入3 571例心内科患儿，其中T波异常的患儿749例（20.97%）。发生T波异常的主要心内科疾病为心包炎350例(46.73%)，其次为心肌炎/心肌病157例(20.96%)。两组患儿的性别、年龄比较差异无统计学意义（P>0.05）。T波异常组体质量超重的占比较高，差异有统计学意义（P<0.05）。T波异常组中呼吸系统疾病、消化系统疾病、神经性疾病、感染性疾病的占比较高，差异有统计学意义（P<0.05）。Logistic回归分析统计学结果显示，体质量（超重）、合并呼吸系统疾病/消化系统疾病/神经性疾病、心包炎、心肌炎/心肌病是心内科患儿心电图T波异常改变的独立危险因素。结论：心内科患儿心电图T波异常改变较为常见，心包炎、心肌炎/心肌病更容易出现此类异常。同时合并呼吸系统疾病、消化系统疾病、神经性疾病的患儿也需引起注意，其发生心电图T波异常改变的风险也较高。

关键词: 心电图T波异常, 心内科, 影响因素, 儿童

Abstract: Objective：To investigate the status quo and influencing factors of abnormal changes of T-wave in electrocardiogram of children in the department of cardiology.Methods：A retrospective study was used.A total of 3 571 children were chosen as the study subjects,who were admitted to the Department of Cardiology of Hunan Children′s Hospital from January 2019 to December 2023,and they were divided into abnormal T-wave group (n=749) and control group (n=2 822) according to whether they had abnormal T-wave or not.The types of T wave abnormalities,age distribution,gender ratio and some other indicators were analyzed,and correlation analysis was carried out by statistical methods to explore the possible influencing factors.Results：A total of 3 571 children in the Department of Cardiology were included,including 749 (20.97%) with abnormal T-wave.T-wave abnormalities occurred mainly in 350 cases of pericarditis (46.73%),followed by 157 cases of myocarditis/cardiomyopathy (20.96%).There was no statistically significant difference in gender or age between the two groups(P>0.05).The proportion of overweight in the abnormal T-wave group was higher,and there was statistically significant difference (P<0.05).The proportion of respiratory system diseases,digestive system diseases,neurological diseases and infectious diseases in abnormal T-wave group was higher,the difference being statistically significant (P<0.05).Logistic regression analysis showed that body mass (overweight),combination with respiratory diseases/digestive diseases/neurological diseases,pericarditis,and myocarditis/cardiomyopathy were independent risk factors for abnormal changes of T-wave in electrocardiogram of children in the Department of Cardiology (P<0.05).Conclusion：Abnormal changes of T wave in electrocardiogram are more common in children in the cardiology department,and the children with pericarditis and myocarditis/cardiomyopathy are more prone to such abnormalities.Meanwhile,attention should also be paid to the children with respiratory diseases,digestive diseases,and neurological diseases,for the risk of abnormal changes of T-wave in their electrocardiograms is also higher.

Key words: Abnormal T-wave in electrocardiogram, Department of cardiology, Influencing factors, Child