妊娠早中晚期心电图短P-R间期检测结果分析

The changes of ECG monitoring during the short P-R interval in the first, second and third trimesters were compared

中文关键词: 妊娠时期  心电图  短P-R间期  Logistic回归分析

中文摘要:

      目的：对比孕早期、孕中期、孕晚期心电图短P-R间期监测变化。方法 选择本院2022年1月-2024年1月接受心电图及孕期检查的86例妊娠女性作为观察组,并根据妊娠阶段分为孕早期(妊娠≤13周,n=24例)、孕中期(妊娠14-28周,n=35例)、孕晚期(妊娠＞28周,n=27例),选择同期接受检查的100例非妊娠健康女性作为对照组。所有对象均接受常规描记12导联心电图,监测P-R间期。对比两组短P-R间期发生率；对比不同妊娠时期短P-R间期发生率、正常及短P-R间期定量值。并根据妊娠女性是否发生短P-R间期分为短P-R间期组、正常组,分析妊娠女性临床特征与短P-R间期之间关系,并采用Logistic回归分析妊娠女性短P-R间期的影响因素。结果 观察组短P-R间期发生率22.09%高于对照组2.00%(P＜0.05)。不同妊娠时期女性的正常、短P-R间期定量值对比无差异(P＞0.05)；而不同妊娠时期短P-R间期发生率对比(4.17%、14.29%、48.15%)有差异(P＜0.05),且孕晚期＞孕中期＞孕早期。短P-R间期组与正常组的年龄、生产史对比有差异(P＜0.05)。Logistic回归结果显示,年龄＞35岁、孕晚期为妊娠女性发生短P-R间期的危险因素(P＜0.05)。结论 妊娠女性发生心电图短P-R间期风险较高,且随着妊娠周期的增加,其发生风险逐渐增高,临床应加强孕晚期心电监测,保障母婴健康。

英文摘要:

      Objective: To compare the changes of ECG monitoring during the short P-R interval in the first, second and third trimesters. Methods A total of 86 pregnant women who received electrocardiogram and pregnancy examination in our hospital from January 2022 to January 2024 were selected as the observation group, and were divided into the first trimester (gestation ≤13 weeks, n=24 cases), the second trimester (gestation 14-28 weeks, n=35 cases) and the third trimester (gestation > 28 weeks, n=27 cases) according to the gestation stage. 100 non-pregnant healthy women were selected as control group. All subjects underwent routine 12-lead electrocardiogram to monitor the P-R interval. The incidence of short P-R interval was compared between the two groups. The incidence of short P-R intervals in different gestation periods and the quantitative values of normal and short P-R intervals were compared. Pregnant women were divided into short P-R interval group and normal interval group according to whether short P-R interval occurred. The relationship between clinical characteristics and short P-R interval of pregnant women was analyzed, and the influencing factors of short P-R interval of pregnant women were analyzed by Logistic regression. Results The incidence of short P-R interval in observation group was 22.09% higher than that in control group by 2.00% (P < 0.05). There was no difference in the quantitative values of normal and short P-R intervals between women in different gestation periods (P > 0.05). The incidence of short P-R interval in different gestation periods was different (4.17%, 14.29%, 48.15%) (P < 0.05), and the third trimester > the second trimester > the first trimester. There were differences in age and birth history between the short P-R interval group and the normal group (P < 0.05). Logistic regression results showed that age > 35 years old and late pregnancy were risk factors for short P-R interval in pregnant women (P < 0.05). Conclusion Pregnant women have a higher risk of short P-R interval of electrocardiogram, and the risk increases gradually with the increase of pregnancy cycle. Clinical ECG monitoring in the third trimester should be strengthened to protect maternal and infant health.