《中国数字医学》2019第14卷第9期 ·45先心病肺动脉高压患儿心电图P波、QRS波特征与生存质量的关系梅帆① 聂钰君＊摘 要 目的：探讨先心病肺动脉高压（congenital heart disease-pulmonary arterial hypertension，CHD-PAH）心电图P波、QRS波特征与生存质量的关系。
方法：根据是否合并PAH将88例先心病患儿分为PAH组（45例）与非PAH组（43例），参照Peds QL TM 4.0标准评定生存质量。
结果：PAH组P波、QRS波振幅与时限均明显高于非PAH组，P ＜0.05。
PAH组Peds QL TM 4.0评分均明显低于非PAH组。
PAH组心电图P波、QRS波特征与Peds QL TM 4.0评分呈显著负相关（|r |＞0.4，P ＜0.05）。
结论：CHD-PAH患儿P波、QRS波振幅与时限均明显增高，且与生存质量呈负相关。
关键词 先天性心脏病 肺动脉高压 心电图 生存质量 Doi:10.3969/j.issn.1673-7571.2019.09.016[中图分类号] R541 [文献标识码] AThe Relationship Between ECG P Wave, QRS Wave Character and Life Quality for Children with Congenital Heart Disease-Pulmonary Arterial Hypertension / MEI Fan, NIE Yu-jun//China Digital Medicine.-2019 14(9): 45 to 46Abstract Objective: To study the relationship between ECG P wave, QRS wave character and life quality for children with CHD-PAH. Methods: According to whether combined PAH, 88 cases children with CHD-PAH were divided into PAH group (45 cases) and non-PAH (43 cases). All study object were given ECG examination, the life quality was assessed referring by Peds QL TM 4.0 standard. Results: P wave, QRS wave amplitude and duration of PAH group were significantly higher than non-PAH group, P <0.05. Peds QL TM 4.0 scores in PAH group were significantly lower than non-PAH group. It had significantly negative correlation between PAH ECG P wave, QRS wave character and Peds QL TM 4.0 scores (|r |>0.4, P <0.05). Conclusion: The ECG P wave, QRS wave amplitude and duration are increased, and negatively correlated with life quality.Keywords congenital heart disease, pulmonary arterial hypertension, electrocardiogram, life qualityCorresponding author Department of Pediatrics, Xiangyang Central Hospital (Affiliated Hospital of Hubei University of Arts and Sciences), Xiangyang 441021, Hubei Province, P.R.C.肺动脉高压（pulmonary arterial hypertension，PAH）是先心病（congenital heart disease，CHD）患儿生存质量的主要影响因素之一。
