目的 探究Lorenz散点图在乳腺癌患者心率变异性分析中的价值。方法 纳入2020年至2023年我院首诊乳腺癌患者240例,依据TMN分期分为0~Ⅰ、Ⅱ~Ⅲ、Ⅳ期三组,分析其心率变异性各指标特点;对比散点图指标与SDNN的相关性;利用ROC曲线评估Lorenz散点图在乳腺癌患者心率变异性不同程度下降时的预测价值。结果 心率变异性时域、频域、散点图指标在0~Ⅰ期、Ⅱ~Ⅲ期间差异无统计学意义(P>0.05),在0~Ⅰ期、Ⅱ~Ⅲ期与Ⅳ期间差异均有统计学意义。Lorenz散点图长轴L、短轴W及面积A与SDNN的相关系数分别为0.762、0.521、0.678(P
<
0.05,呈显著相关);L、W、A在HRV轻度降低时的ROC曲线下面积为0.789、0.731、0.759,最佳界值为6.95cm、1.125cm、6.63cm
2
;在HRV中度降低时ROC曲线下面积为0.886、0801、0.866,最佳界值为5.95cm、1.175cm、4.69cm
2
。结论 Ⅳ期心率变异性较0~Ⅲ期下降明显;Lorenz散点图L、W、A与SDNN均有显著相关性;HRV轻中度下降时,L的预测价值均较W、A大,最佳界值分别为6.95cm、5.95cm。
张凤琴,梁保辉,蔡汉飞,朱超莽,汪朝歌,张群.胸部放疗的辐射剂量与心率变异性的相关性[J].继续医学教育,2021(11).
杨亚丽,王治平,孟昊.心率变异性的研究进展[J].长治医学院学报,2021(05).
杨伟烙,万建平,刘议蔓,杨旭丽.心率变异性在肿瘤化疗患者中的应用价值[J].临床心电学杂志,2021(03).
陈莉,邓兆敏,陈欣欣,杜谕君,蔡宏华,冯晓霞.心电散点图在心率变异性分析中的应用研究[J].当代医学,2021(14).
徐泽红,徐玉萍,项学军,乔锐,郑元喜,谢林.Lorenz散点图在慢性心力衰竭患者心率变异性分析中的应用研究[J].临床和实验医学杂志,2021(08).
胡敏,江成璠,王素霞.三维心电散点图吸引子的析取和识别[J].生物医学工程学杂志,2018(01).
梁峰,胡大一,沈珠军,姚远.2015年欧洲心脏病协会关于室性心律失常患者治疗和心脏性猝死预防指南的解读[J].中国医院用药评价与分析,2016(06).
李习芬,兰超,闫日成.恶性肿瘤患者400例心率变异性分析[J].肿瘤研究与临床,2012(11).
孙永艳.肿瘤患者心率变异性分析的临床意义[J].求医问药(下半月),2012(07).
陈晨,刘海媛.不同分期恶性肿瘤患者的心率变异性分析[J].复旦学报(医学版),2009(04).
Departamento de Medicina, Disciplina de Cardiologia, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, 715 Napoleão de Barros St, São Paulo, 04024002, SP, Brazil. ac.arabclaudia@gmail.com.,Departamento de Fisioterapia, Faculdade de Ciência e Tecnologia, Universidade do Estado de São Paulo, 305 Roberto Símonsen St, Presidente Prudente, SP, 19060-900, Brazil.,Faculdade de Medicina do ABC, Laboratório de Epidemiologia e Análise de Dados, 2000 Lauro Gomes Av, Santo André, SP, 09060-870, Brazil.,Department of Physiology and Institute of Molecular Cardiology, School of Medicine, University of Louisville, Baxter Biomedical Research Building II, 590 S Preston St, Louisville, KY, 40202, USA.,Instituto do Câncer Doutor Arnaldo Vieira de Carvalho, 66 Largo do Arouche, São Paulo, SP, 01219-011, Brazil.,Departamento de Ginecologia, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.,Departamento de Ginecologia, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.,Centro de Referência da Saúde da Mulher, Hospital Pérola Byington, 683 Brigadeiro Luís Antônio Ave, São Paulo, SP, 01317-000, Brazil.,Departamento de Medicina, Disciplina de Clínica Médica, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.,Free University of Brussels (VUB), Boulevard de la Plaine 2, 1050, Ixelles, Belgium.,Departamento de Medicina, Disciplina de Cardiologia, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, 715 Napoleão de Barros St, São Paulo, 04024002, SP, Brazil..Cardiac autonomic modulation impairments in advanced breast cancer patients.[J].Clinical research in cardiology : official journal of the German Cardiac Society,2018.
Hu Songjie,Lou Jie,Zhang Youping,Chen Ping.Low heart rate variability relates to the progression of gastric cancer.[J].World journal of surgical oncology,2018.
De Couck Marijke,van Brummelen David,Schallier Denis,De Grève Jacques,Gidron Yori.The relationship between vagal nerve activity and clinical outcomes in prostate and non-small cell lung cancer patients.[J].Oncology reports,2013.
Oral Nevruz,Mehmet Yokusoglu,Mehmet Uzun,Sait Demirkol,Ferit Avcu,Oben Baysan,Cem Koz,Türker Cetin,Cemal Sag,Ali Ugur Ural,Ersoy Isik.Cardiac Autonomic Functions are Altered in Patients with Acute Leukemia, Assessed by Heart Rate Variability[J].The Tohoku Journal of Experimental Medicine,2007.
Kataoka Masaaki,Ito Chikako,Sasaki Hideo,Yamane Kiminori,Kohno Nobuoki.Low heart rate variability is a risk factor for sudden cardiac death in type 2 diabetes.[J].Diabetes research and clinical practice,2004.
Ekholm E M,Salminen E K,Huikuri H V,Jalonen J,Antila K J,Salmi T A,Rantanen V T.Impairment of heart rate variability during paclitaxel therapy.[J].Cancer,2000.
谢桂君.Lorenz散点图在心率变异性量化分析中的价值[D].安徽医科大学,2020(02).
0
浏览量
70
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621