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目的通过对从事大型货运机动车职业驾驶人员心电图异常改变的类型、特点的分析,为该人群早期发现并预防心血管疾病提供依据。方法选取2011年10月-2015年1月426例在某院体检的大型货运机动车职业驾驶人员的心电图检查。采用统一诊断标准进行心电图的分析,统计各类心电图异常情况并对心电图异常检出结果进行分析。结果(1)异常心电图总检出率为35.68%,主要为窦性心律不齐、ST-T改变、左室高电压等;(2)男性的心电图总异常检出率明显高于女性(P<0.05);(3)年轻年龄组和中年年龄组的心电图异常检出率差异无统计学意义(P>0.05)。结论大型货运机动车职业驾驶人员心电图改变明显,加强心血管系统健康监护对早期发现和预防心血管疾病具有重要意义。
Objective To analyze the types and characteristics of electrocardiogram changes of professional drivers engaged in large cargo motor vehicles and provide basis for the early detection and prevention of cardiovascular diseases in this population. Methods From October 2011 to January 2015, 426 electrocardiographic examinations of professional drivers of large freight motor vehicles who were physically examined at a hospital were selected. A unified diagnostic criteria for ECG analysis, statistical abnormalities of various types of ECG and ECG abnormalities detected results were analyzed. Results (1) The total detection rate of abnormal ECG was 35.68%, mainly sinus arrhythmia, ST-T changes, left ventricular high voltage and so on; (2) The detection rate of total abnormal ECG in male was significantly higher than that in female <0.05). (3) There was no significant difference in the detection rate of electrocardiogram abnormalities between young age group and middle age group (P> 0.05). Conclusion The electrocardiogram changes of the professional drivers of large cargo motor vehicles have obvious changes. To strengthen the monitoring of cardiovascular system health is of great significance for the early detection and prevention of cardiovascular diseases.