目的：探讨新生儿肺炎心电图及心肌酶谱监测的临床实际意义。方法选取45例新生儿肺炎患儿(肺炎组和)和45例健康新生儿(健康对照组)为研究对象，比较两组新生儿的心肌酶谱和心电图情况。结果①肺炎组各项心肌酶谱指标均高于健康对照组，经统计学处理均具有显著性差异( P均<0．01)；②肺炎组恢复期患儿心肌酶谱指标均低于急性期，经统计学处理均具有显著性差异( P均<0．01)；③肺炎组轻症患儿心肌酶谱指标均低于重症患儿，经统计学处理均具有显著性差异(P均<0．01)；④肺炎组心电图异常发生率高于健康对照组，经统计学处理均具有显著性差异(P<0．01)。结论新生儿肺炎患儿存在不同程度的心肌损害，可通过监测患儿的心电图及心肌酶谱来评估疾病的发生与进展情况，对患儿的临床治疗具有指导作用。%Objective To investigate the clinical practical significance of monitoring of electrocardiogram and myocardial zymogram in neonatal pneumonia. Methods The study selected 45 cases of neonatal pneumonia as the neonatal pneumonia group and 45 cases of healthy newborns as the normal control group. Myocardial zymogram and ECG were observed and compared between the two groups. Results (1) The indexes of myocardial zymogram were significantly lower in the control group than in the neonatal pneumonia group (P<0. 01). (2) The indexes of myocardial zymogram were lower during the recovery period than during acute period of pneumonia children ( P <0. 01). (3) The indexes of neonatal myocardial zymogram were lower in mild pneumonia children than in severe pneumonia children (P<0. 01). (4) The abnormal rate of electrocardiogram of the health control group were signifi-cantly higher than that of the neonatal pneumonia group ( P<0. 01 ) . Conclusion Myocardial damage presents in neonates with pneumonia at different degrees, and it can be evaluated by monitoring ECG and myocardial zymogram.
展开▼
