目的:分析急性脑卒中患者心电图改变情况。方法:2009年1月至2010年12月在本院住院急性脑卒中患者68例进行心电图检查,并对检查结果进行统计学分析。结果:68例急性脑卒中患者中有56例(82.4%)出现心电图异常变化,其中以ST-T变化(48.5%)和窦性心动过速(42.6%)最为多见。不同发病时间和发病部位的急性脑卒中患者心电图异常发生率差异有统计学意义(P<0.05),但是不同性质脑卒中患者心电图异常发生率差异没有统计学意义(P>0.05)。结论:急性脑卒中患者容易出现心电图异常变化,并且与脑卒中的发病时间和发病部位有密切关系。 Objective: To analyze the changes of electrocardiogram in acute stroke patients. Methods: From January 2009 to December 2010, 68 patients with acute stroke admitted to our hospital underwent electrocardiogram examination, and the results of the test were statistically analyzed. Results: Of the 68 patients with acute stroke, 56 (82.4%) had abnormal electrocardiogram changes, most notably ST-T changes (48.5%) and sinus tachycardia (42.6%). The incidence of ECG abnormalities in patients with acute stroke at different times of onset and at onset was significantly different (P <0.05), but there was no significant difference in the incidence of ECG abnormalities between stroke patients with different characteristics (P> 0.05). Conclusion: Patients with acute stroke prone to abnormal changes in ECG, and the incidence of stroke and the incidence of sites are closely related.