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目的探讨合并心脏病对急性缺血性卒中患者短期预后的影响。方法选择黄石市第四医院神经内科2012—2013年收治的急性缺血性卒中患者172例,根据心电图监测结果将患者分为心电图正常组56例和心电图异常组116例,比较两组患者发病第30天的预后效果。结果心电图正常组患者预后良好16例、一般19例、不良16例、差5例,心电图异常组患者预后良好9例、一般21例、不良57例、差29例。心电图正常组患者预后效果优于心电图异常组,差异有统计学意义(u=4.691,P=0.000)。结论合并心脏病能影响急性缺血性卒中患者的短期预后,临床上对心电图监测异常的急性缺血性卒中患者应积极治疗心脏病,以改善患者预后。
Objective To investigate the short-term prognosis of patients with acute ischemic stroke complicated with heart disease. Methods Sixty-two patients with acute ischemic stroke admitted to Department of Neurology, Fourth Hospital of Huangshi from 2012 to 2013 were divided into two groups according to the results of electrocardiogram (ECG), 56 cases of normal ECG group and 116 cases of abnormal electrocardiogram group. 30-day prognosis. Results The patients with normal ECG had a good prognosis of 16 cases, 19 cases in general, 16 cases in poor and 5 cases in poor prognosis. The prognosis of patients with abnormal electrocardiogram was good in 9 cases, 21 cases in general, 57 cases in poor and 29 cases in poor prognosis. The prognosis of patients with normal ECG group was better than that of ECG abnormal group, the difference was statistically significant (u = 4.691, P = 0.000). Conclusion Combined heart disease can affect the short-term prognosis of patients with acute ischemic stroke. Patients with acute ischemic stroke with abnormal ECG monitoring should be actively treated with heart disease so as to improve the prognosis of patients.