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目的探讨中老年人群心电图异常的相关因素。方法对1926例教职工体检的异常心电图发生率及危险因素进行分析。结果心电图异常检出率32.66%,以ST-T改变检出率最高,占62.80%,女性高于男性,心电图异常改变随年龄呈逐渐增加趋势,年龄分段比较,差异有统计学意义(p<0.05)。异常心电图人群中总胆固醇(TC)升高率49.92%,甘油三酯(TG)升高率36.41%,低密度脂蛋白(LDL-C)升高率50.24%,空腹血糖(FPG)升高率19.40%,高血压病25.44%,脂肪肝16.53%,较正常心电图人群比较,差异有统计学意义(p<0.05)。结论心电图异常改变与年龄、血脂异常、高血糖、高血压、脂肪肝密切相关。对上述多重危险因素进行强化干预很有必要。
Objective To investigate the related factors of electrocardiogram abnormalities in middle-aged and elderly people. Methods The incidence and risk factors of abnormal electrocardiogram (ECG) in 1926 faculty members were analyzed. Results The detection rate of electrocardiogram anomalies was 32.66%. The detection rate of ST-T was the highest (62.80%). The female was higher than that of males. The abnormal changes of electrocardiogram tended to increase with age. The difference was statistically significant (p <0.05). In the abnormal ECG group, the increase rate of total cholesterol (TC) was 49.92%, the triglyceride (TG) increased rate was 36.41%, the low density lipoprotein (LDL-C) increased rate was 50.24% and the fasting blood glucose (FPG) 19.40%, hypertension 25.44%, fatty liver 16.53%, compared with normal ECG group, the difference was statistically significant (p <0.05). Conclusion The abnormal ECG changes with age, dyslipidemia, hyperglycemia, hypertension, fatty liver are closely related. Intensive intervention in multiple risk factors is necessary.