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目的 观察癫痫发作后J波综合征的分布特征及其相关因素。方法 搜集2015年6月~2016年6月在陕西省人民医院住院的癫痫发作出现J波综合征患者35例，与同期入院癫痫发作心电图无变化的患者35例为对照组，做对比分析。结果35例癫痫患者出现J波综合征，J波明显7例（占20%），JT部分 融合J波尚可辨认12例（占34%），JT完全融合，J波不可分辨16例（占46%）。其中下壁导联出现J 波者17例（占49%），前壁导联出现J波18例（占51%）。J波综合征组与对照组对比，超敏C反应蛋白（hs-CRP）具有统计学差异〔(5.4±0.9) mmol/L vs.（3.3±0.7）mmol/L，P<0.05〕，余无统计学差异。Pearson相关性分析示癫痫患者出现J波综合征与hs-CRP具有相关性（r=0.28,P=0.036）。结论 癫痫发作2~3 min后部分患者出现J波综合征，J波形态多样，出现在下壁和前壁导联,J波综合征的相关因素是hs-CRP。
Objective To observe the distribution and related factors of J wave syndrome after epileptic seizures. Methods Thirty-five patients with J-wave syndrome who were hospitalized in Shaanxi Provincial People’s Hospital from June 2015 to June 2016 were collected and compared with 35 patients who did not change seizure electrocardiogram during the same period of hospitalization for comparison. Results J wave syndrome was found in 35 patients with epilepsy, J wave was found in 7 cases (20%), JT was found in 12 cases (34%), JT was completely fused and J wave was indistinguishable in 16 cases 46%). Among them, 17 cases (49%) showed J waves in the inferior leads and 18 cases (51%) appeared in the anterior leads. There were significant differences in hs-CRP between J wave syndrome group and control group [(5.4 ± 0.9) mmol / L vs. (3.3 ± 0.7) mmol / L, P <0.05〕 No statistical difference. Pearson correlation analysis showed that there was a correlation between J wave syndrome and hs-CRP in patients with epilepsy (r = 0.28, P = 0.036). Conclusions J wave syndrome occurs in some patients after 2 ~ 3 min of epileptic seizures. The J wave is diverse in appearance and appears in the inferior and anterior leads. The related factor of J wave syndrome is hs-CRP.