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目的描述妊娠高血压综合征(妊高征)患者心律失常发生率及分布特征。方法选取我院患有妊娠高血压综合征的孕妇280例,观察其生产前后的心电图变化及不同程度妊娠高血压综合征的心电图情况,另抽取280例正常孕妇作为正常孕妇组。结果妊高征组产前心律失常发生率显著高于产后心律失常发生率(58.2%vs.20.0%,P<0.05)。妊高征组产前心律失常率与正常孕妇组产前心律失常率比较,差异具有统计学意义(P<0.05)。不同程度妊娠高血压综合征组心律失常率比较,差异均有统计学意义(P<0.05)。结论妊高征患者产前的心律失常率比产后的心律失常率高,也显著高于正常孕妇组。随着妊高征程度的加重,心律失常发生率依次增高。
Objective To describe the incidence and distribution of arrhythmia in patients with pregnancy induced hypertension (PIH). Methods Two hundred and eighty pregnant women with pregnancy-induced hypertension syndrome in our hospital were selected to observe the changes of electrocardiogram before and after their production and the electrocardiogram of pregnancy induced hypertension syndrome. Another 280 normal pregnant women were selected as normal pregnant women. Results The incidence of prenatal arrhythmia in PIH group was significantly higher than that in postnatal arrhythmia (58.2% vs. 20.0%, P <0.05). The rate of prenatal arrhythmia in PIH group was significantly higher than that in normal pregnant women group (P <0.05). The levels of arrhythmia in pregnancy induced hypertension group were significantly different (P <0.05). Conclusion The rate of prenatal arrhythmia in PIH patients is higher than that of postpartum arrhythmias, and also significantly higher than that of normal pregnant women. As the degree of PIH increased, the incidence of arrhythmia followed by increased.