体表窦房结电图对窦房结功能检测的意义  

SIGNIFICANCE OF BODY SURFACE SINUS NODEELECTROGRAM (SNEb) DETECYION ON SINUS NODE FUNCTION

作　　者：赵玉元[1] 赵学辉[1] Zhao Yuyuan Zhao Xuehui 

机构地区：[1]湖南省人民医院心功能室 [2]Hunan Provincial People's Hospital

出　　处：《中国现代医学杂志》2001年第3期58-59,共2页China Journal of Modern Medicine

摘　　要：目的：深入探讨体表窦房结电图对窦房结起搏与传导功能检测的临床意义。方法：采用南京生产的体表窦房结检测仪对210例患者进行窦房结功能检测，并对其中126例施行阿托品试验。结果2l0例中，正常窦性心律组70例中仅有2例窦房传导时间(SACT)延长，而窦性心动过缓组140例中有9l例SACT延长。窦房传导时间延长的93例中，注射阿托品后恢复正常的有68例，未恢复正常25例，两组有显著性差别。结论：采用体表窦房结电图检测仪检测窦房功能同时结合阿托品试验，不仅可以排除因迷走神经亢奋所导致的SACT延长，而且SACT检测也可纠正阿托品试验单凭心律变化来判定假阳性的片面性，增强对窦房结功能检测的准确性。Objective:To investigate the significance of SNEb on detection of pacing and conduction capacity of Sinus Node.Methods:210 cases were divided into two groups:Normal Sinus Rhythm group(n=70) and Sinus Bradycardia group (n=140).SNEbs were recorded on all the patients and among whom Atropine tests were conducted on 126 cases.Results:In Normal Sinus Rhythm group only 2 had SACT prolongation,but in Sinus Bradycardia group 90 patients had such a problem.Then Atropine tests were conducted on 93 SACT prolongation cases,after injection,68 returned to normal and the remaining 25 not recoered.Statistics showed that there was significant difference between 2 groups.Conclusions:SNEb recording combined with Atropine test can rule out hypervagotonia-induced SACT prolongation,and SACT detection can correct false positive Atropine test results judged only by heart rate changes and consequently increases the accuracy rate of examination of Sinus Node function.

关 键 词：体表窦房结电图 病窦综合征 阿托品 

分 类 号：R541.740.4[医药卫生—心血管疾病]