常规心电图与动态心电图对心律失常的诊断分析  

Diagnosis and analysis of arrhythmia by electrocardiogram and dynamic electrocardiogram

作　　者：李星[1] 洪文皓[1] 蔡丹[1] 

机构地区：[1]福建省肿瘤医院心肺功能室,福州市350014

出　　处：《微创医学》2015年第6期756-757,766,共3页Journal of Minimally Invasive Medicine

摘　　要：目的通过心律失常人群的常规心电图和动态心电图分析,对比其心律失常的检出率,讨论两种方法的诊断意义。方法使用常规十二导同步心电图仪和牛津动态心电图仪检查心律失常患者400例,比较其心律失常的检出率,并对不同年龄的心律失常发生率进行统计分析。结果动态心电图对不同类型心律失常的检出率均比常规心电图高,两者比较,差异具有统计学意义(P<0.05)。动态心电图对偶发性心律失常的检出率为93.42%,较常规心电图(30.26%)高,两者比较,差异具有统计学意义(P<0.05)。心律失常的发生率随年龄增加有增高的趋势。结论动态心电图检出心律失常的阳性率明显高于常规心电图,诊断价值较高,可为患者的临床诊断提供有效可靠的参考。Objective To compare the detectable rate of arrhythmia by electrocardiogram and dynamic electrocardiogram. Methods Four hundred cases of arrhythmia patients were examined by routine electrocardiogram and dynamic electrocardiogram. Then the detectable rate of arrhythmia were compared. The incidence rate of patients was compared between different age. Results The detectable rate of various type arrhythmia by dynamic electrocardiogram was higher than that by electrocardiogram; The difference was statistically significant （ P 〈 0. 05 ）. The detectable rate of accidental by dynamic electrocardiogram was 93.42%, significantly higher than that of electrocardiogram （ 30.26% ） （ P 〈 0. 05 ）. The incidence rate of arrhythmia increases with age. Conclusions The diagnostic value of dynamic electrocardiogram is higher than electrocardiogram. And dynamic electrocardiogram can provide effective reference for clicnic diagnosis.

关 键 词：常规心电图 动态心电图 心律失常 诊断 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]