广州医药 ›› 2018, Vol. 49 ›› Issue (3): 106-108.DOI: 10.3969/j.issn.1000-8535.2018.03.031

• 临床诊疗 • 上一篇    下一篇

二胎孕妇心电图与妊娠结局的关系

张慧, 郑纪容   

  1. 广州市第一人民医院,华南理工大学附属第二医院(广州 510180)
  • 收稿日期:2018-02-04 出版日期:2018-05-20 发布日期:2021-12-01
  • 通讯作者: 张慧,E-mail:zhang_hui0820@foxmail.com

Relationship between the electrocardiogram and the pregnancy outcome of the second pregnant women

ZHANG Hui, ZHENG Jirong   

  1. Department of Ultrasonic medicine, Guangzhou First People's Hospital, the Second Affiliated Hospital of South China University of Technology, Guangzhou 510180, China
  • Received:2018-02-04 Online:2018-05-20 Published:2021-12-01

摘要: 目的 通过比较二胎孕妇和初产孕妇心电图变化探讨其对妊娠结局的影响。方法 随机选取300例孕妇,其中150例二胎孕妇为观察组,150例初产孕妇为对照组。观察2组孕妇异常心电图的类型及发生率,分析异常心电图与妊娠结局的关系。结果 初产孕妇组异常心电图35例,心电图异常发生率为23.3%,二胎孕妇组异常心电图50例,心电图异常发生率为33.3%,两组心电图异常发生率差别有统计学意义(P<0.05)。二胎孕妇组窦性心动过速、室性早搏及ST-T改变的发生率显著高于初产孕妇组,差异有统计学意义(P<0.05)。二胎孕妇心电图异常组的剖宫产率和早产率均高于二胎孕妇心电图正常组、初产孕妇心电图正常组,差别有统计学意义(P>0.05)。结论 二胎孕妇易合并心电图异常改变,心电图异常会增加剖宫产和早产的发生率,临床医生在诊治此类患者时应提高警惕。

关键词: 二胎, 心电图, 妊娠结局

Abstract: Objective To observe the relationship between electrocardiogram(ECG) and pregnancy outcomes of the second pregnant women. Methods Pregnant women were divided into two groups by parity history: the second pregnancy group and the Primipara group. The incidence of abnormal electrocardiogram was recorded, then the pregnancy outcome including the delivery mode and the premature birth rate were followed up. Results The incidence of abnormal ECG in the second pregnancy group was significantly higher than that in primipara group(P<0.05) and the incidences of Nodal tachycardia, Premature ventricular contraction, ST-T changes in the group of the second pregnancy were higher than that in the group of Primipara (P<0.05). The incidence of cesarean delivery and premature birth in the second pregnancy group with abnormal ECG group was significantly higher than that in pregnant women with normal ECG group (P<0.05). Conclusion The second pregnant women are more likely to have ECG abnormality, the pregnant women with abnormal ECG are easily suffer from cesarean delivery and premature birth.

Key words: Second pregnancy, ECG, Pregnancy outcome