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目的观察伴有或不伴有2型糖尿病患者十二导联心电图变化情况。方法收集230例伴有2型搪尿病患者(糖尿病组)与230例不伴有糖尿病(非糖尿病组)的常规心电图资料,分析2组之间心电图变化情况。结果糖尿病组患者心电图异常的发生率明显高于非糖尿病组患者(χ2=44.99,P<0.01),糖尿病组中,女性异常率显著高于男性(χ2=9.479,P<0.01)。窦性心动过缓、窦性心动过速、房早、房速、心房纤颤、室早、传导阻滞、ST-T改变,2组比较差异均有统计学意义。结论糖尿病患者容易发生心电图异常,常规心电图能够有效发现糖尿病患者心电图异常表现,对临床诊断有较大价值。
Objective To observe the change of 12-lead electrocardiogram in patients with and without type 2 diabetes mellitus. Methods The routine electrocardiogram data of 230 patients with type 2 diabetes mellitus (DM) and 230 patients without diabetes (DM) were collected to analyze the ECG changes between the 2 groups. Results The incidence of ECG abnormalities was significantly higher in diabetic patients than in non-diabetic patients (χ2 = 44.99, P <0.01). In diabetic patients, the abnormal rate was significantly higher in women than in men (χ2 = 9.479, P <0.01). Sinus bradycardia, sinus tachycardia, atrial premature beats, atrial tachycardia, atrial fibrillation, ventricular premature beats, conduction block, ST-T changes, the two groups were statistically significant differences. Conclusion Diabetic patients are prone to abnormal electrocardiogram. Conventional electrocardiogram can effectively detect the abnormal electrocardiogram in diabetic patients, which has great value in clinical diagnosis.