动态心电图对老年心源性晕厥的诊断价值  

Diagnostic Value of Ambulatory Electrocardiogram in Elderly Patients with Cardiogenic Syncope

作　　者：曾元杰 ZENG Yuan-jie

机构地区：[1]汕头市潮阳区大峰医院,广东汕头515100

出　　处：《中国数字医学》2018年第11期41-43,共3页China Digital Medicine

基　　金：汕头市科技计划项目项目-sol-CXCL16在急性冠脉综合征中的临床意义(编号:20150406)~~

摘　　要：目的:分析动态心电图对老年心源性昏厥的诊断方法及价值。方法:针对2015年3月—2017年11月经院内收治的127例老年住院患者的临床资料进行回顾性分析,根据其是否发生了心源性昏厥将其分为研究组(52例)和对照组(75)例,对比两组患者的动态心电图检测结果。结果:研究组患者的单纯房性早搏/室性早搏检出率为21.15%,明显高于对照组的5.33%(P<0.05);研究组的无心律失常症状患者检出率为5.77%,低于对照组的26.67%(P<0.05);两组患者除单纯房性早搏/室性早搏和无心律失常症状外的其他各项心律失常类型检出率相比差异均无统计学意义(P>0.05);研究组不同心律失常类型患者的R-R间期均明显高于对照组(P<0.05),且研究组的整体R-R间期明显高于对照组(P<0.05);心室停搏时间>3s的心源性晕厥发生率为41.94%,明显高于心室停搏时间<3s的1.08%(P<0.05)。结论:动态心电图可以有效应用于老年心源性晕厥患者的临床诊断,发挥出了较好的诊断价值,宜广泛应用和推广。Objective:To analyze the diagnostic methods and value of Holter monitoring for senile cardiogenic fainting.Methods: The clinical data of 127 elderly inpatients from March 2015 to 2017 were retrospectively analyzed.The patients were divided into study group (n =52)and control group (n =75).Comparison of the results of ambulatory electrocardiogram between the two groups. Results:The detection rate of simple atrial premature beats /ventricular premature beats in the study group was 21.15,which was significantly higher than that in the control group 5.33%(P<0.05).The detectable rate of patients without arrhythmia in the study group was 5.77,which was lower than that in the control group26.67%(P<0.05).There was no significant difference in the detectable rates of arrhythmias between the two groups except simple atrial premature beats /ventricular premature beats and no arrhythmia symptoms (P>0.05).The R-R interval of patients with different arrhythmia types in the study group was significantly higher than that in the control group (P<0.05),and the overall R in the study group was significantly higher than that in the control group.The R-R interval was significantly higher than that of the control group (P<0.05).The incidence of cardiac syncope with ventricular arrest time >3s was 41.94%,which was significantly higher than that with ventricular arrest time<3s 1.08%(P<0.05).Conclusion:Ambulatory electrocardiogram can be effectively used in the clinical diagnosis of aged patients with cardiogenic syncope.It has a good diagnostic value and should be widely used and popularized.

关 键 词：动态心电图 老年 心源性昏厥 诊断 

分 类 号：R319[医药卫生—基础医学]