干旱区生态环境知识资源中心(Arid): 塔克拉玛干"沙漠人"心电图明尼苏达编码分析

Arid

	塔克拉玛干"沙漠人"心电图明尼苏达编码分析
其他题名	Physiological characteristics and cardiac electrophysiology manifested in Minnesota coding of the "desert people" in Taklimakan Desert: study of 224 cases
	玉素甫江·阿不拉 1; 程祖亨 1; 汤宝鹏 1; 玛依拉·吾甫尔 1; 邱长春 2; 牛文全 2; 吴兆苏 3; 王薇 3
ISSN	0376-2491
出版年	2006
卷号	86 期号:46 页码:3277-3279
中文摘要	目的研究塔克拉玛干"沙漠人"心脏电生理特点.方法 224名"沙漠人"进行静息心电图检查,男133名,女91名,对照组为151名,男76名、女75名.对受检者12导联静态心电图进行明尼苏达编码,相关数据采用chi2检验对率作趋势分析.结果 (1)异常编码率:"沙漠人"组为103例(46%),男73例,女30例.(2)左室高电压(3-1,3-3)"沙漠人"组为73例(32.6%),(男55例,女18例),对照组为19例(12.6%),(男11例,女8例).(3)高血压检出率,"沙漠人"为17例(7.6%),对照组59例(39.6%).(4)"沙漠人"中超重和肥胖者21例(9.6%),对照组23例(23%).(5)心律失常:"沙漠人"为20例(8.9%),对照组为10例(6.6%).结论 "沙漠人"左室高电压的检出率明显高于对照组,但高血压,肥胖检出率并不高,可能与其特殊的生存环境,要求强体力活动,心脏泵血功能高导致心肌生理性肥厚、胸壁薄有关.
英文摘要	Objective To study the physiological characteristics and cardiac electrophysiology of the "desert people" in Taklimakan Desert, an isolated population of Uygurs. Methods Two Hundred and twenty-four out of the 1030 "desert people" , 133 males aged 37.8 17.5 (15-99) and 91 females aged 34.1 12.1 (27～85), underwent measurement of height, body weight, waist circumference, and blood pressure. Twelve-lead resting electrocardiogram was obtained and Minnesota coding was conducted. 150 Keriya Uygurs, 76 males aged 50.7 15.6 (27-85) and 75 females aged 46.6 11.7 (24-69) were used as controls. Results The abnormal Minnesota coding rate in the "desert people" as a whole was 46.0%, significantly higher than that of the controls (35.1%, P < 0.05). In the "desert people", the abnormal Minnesota coding rate was 54.9% in the males, significantly higher than that in the females (33.0%, P < 0.05). In the control group, the abnormal coding rate was 28.0% in the females and 42.1 % in the males. The ECG high left R amplitude rate (code 3-1, 3-3) of the "desert people" as a whole was 32.6%, significantly higher than that of the controls (12.6%, P<0.001). Within the " desert people" group, the ECG high left R amplitude rate of the females was 19.8% , significantly lower than that of the males (41.2%, P < 0.005). Within the control group, the ECG high left R amplitude rate of the females was 10.7%, not significantly different from that of the males (14.5%, P > 0.5). The hypertension rate of the "desert people" was 7.6%, significantly lower than that of the controls (36.4%, P < 0.005). The hypertension rate of the "desert people" coded as with left high R amplitude was 12.2%, significantly lower than that of the controls coded as with left high R amplitude (41.6%, P < 0.005). The overweight and obesity rate of the "desert people" was 9.6%, significantly lower than that of the controls (23% , P < 0.005). The arrhythmia (8-1～8-8) rate of the "desert people" was 8.92%, not significantly different from that of the controls (6.62%, P > 0.05). The incidence of conduction block (7-1～7-8) of the "desert people" was 3.12%, not significantly different from that of the controls (2.64%, P > 0.05). Conclusion The higher incidence of ECG high left R amplitudes and low prevalence of hypertension in the " desert people" suggest that the high left R amplitude in "Desert people" may be related to their thin chest wall, low BMI, and physiological left ventricular hypertrophy. The "desert people" have more physical work, and less stress and pollution. They have low incidence of congenital heart decease, rheumatic heart disease and hypertension. All these may be associated with a low incidence of arrhythmia.
中文关键词	心电图描记术 ; 明尼苏达编码 ; 沙漠气候
英文关键词	Electrocardiography Minnesota code Desert climate
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:2657521
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/220554
作者单位	1.新疆医科大学第一附属医院心内科, 乌鲁木齐, 新疆 830054, 中国; 2.中国医学科学院基础所; 3.北京安贞医院
推荐引用方式 GB/T 7714	玉素甫江·阿不拉,程祖亨,汤宝鹏,等. 塔克拉玛干"沙漠人"心电图明尼苏达编码分析[J],2006,86(46):3277-3279.
APA	玉素甫江·阿不拉.,程祖亨.,汤宝鹏.,玛依拉·吾甫尔.,邱长春.,...&王薇.(2006).塔克拉玛干"沙漠人"心电图明尼苏达编码分析.,86(46),3277-3279.
MLA	玉素甫江·阿不拉,et al."塔克拉玛干"沙漠人"心电图明尼苏达编码分析".86.46(2006):3277-3279.