12导联动态心电图监测阵发性房颤及其触发因素的临床分析  

Clinical analysis of 12-lead holter on monitoring paroxysmal atrial fibrillation and triggering factor

作　　者：林永霞[1] 姚锦容[1] 黎文婷[1] 

机构地区：[1]广东省中山市人民医院心电心理室,广东中山528403

出　　处：《中国当代医药》2014年第17期55-57,共3页China Modern Medicine

摘　　要：目的探讨12导联动态心电图监测阵发性房颤及其触发因素的临床应用价值。方法选取2010年1月～2012年12月在本院进行12导联动态心电图检查的患者2000例，采用GE公司生产的MAC1200心电图检测仪进行12导联同步心电图检查，自动监测阵发性房颤，分析其触发因素。结果2000例患者中12导联动态心电图检出阵发性房颤75例，检出率为3．75％，其中12导联常规心电图检出率为0．60％，心电监护检出率为0．50％，均明显低于12导联动态心电图的检出率，差异有统计学意义（P〈0．05）。75例阵发性房颤患者有802次发作纳入研究。触发因素中房性期前收缩最多见，有714次，占89．03％，与其他各因素所占百分率比较，差异有统计学意义（P〈0．01）。阵发性房颤在夜间发作频率增加。结论12导联动态心电图可监测并明确诊断阵发性房颤，并明确其触发因素，为临床治疗提供参考依据。Objective To investigate the clinical application value of 12-lead hoher on monitoring paroxysmal atrial fibrillation and triggering factor. Methods 2000 cases of patients in our hospital from January 2010 to December 2012 were selected and were taken 12-lead holter examination,GE produced MAC1200 ECG detector was used for 12-lead ECG synchronization,paroxysmal atrial fibrillation was monitored,and the triggering factor was analyzed. Results In 2000 patients,75 cases of patients with paroxysmal atrial fibrillation was detected by 12-lead hoher,the detection rate was 3.75%,of which 12-lead ECG detection rate was 0.60%,ECG detection rate was 0.50%,which wes significantly lower than that of the 12-lead halter detection rate,with statistical difference （P〈0.05）.75 cases of patients with paroxysmal atrial fibrillation had 802 episodes included in the study,the most common triggering factor was atrial contraction（714）, accounting for 89.03%,compared with the other factors,with statistical difference （P〈0.01）.The seizure frequency of paroxysmal atrial fibrillation increased during the night. Conclusion The 12-lead holter can monitor and diagnoze paroxysmal atrial fibrillation,and define its trigger factor,provide reference for clinical treatment.

关 键 词：12导联动态心电图 阵发性房颤 触发因素 临床分析 

分 类 号：R541.75[医药卫生—心血管疾病]