12导联动态心电图对心血管病和非心血管病患者心房颤动及阵发性房颤的检测效果  

Testing results of 12-lead Holter atrial fibrillation and paroxysmal atrial fibrillation of patients with cardiovascular disease and non-cardiovascular disease

作　　者：刘衍霖 张宁 王颖 

机构地区：[1]山东省胶州市人民医院保健科,266300 [2]山东省胶州市人民医院内二科,266300 [3]山东省胶州市人民医院急诊内科,266300

出　　处：《中国实用医刊》2016年第14期28-30,共3页Chinese Journal of Practical Medicine

摘　　要：目的：分析12导联动态心电图对心血管病患者和非心血管病患者实施房颤及阵发性房颤检测的效果。方法统计分析2012年5月至2015年5月1136例接受12导联动态心电图检查的患者的临床资料。结果心血管病组患者房颤发生率[18.24％（122/669）]显著高于非心血管病组[12.63％（59/467），P ﹤0.05]，阵发性房颤发生率[83.33％（35/42）]显著高于非心血管病组[16.67％（7/42），P ﹤0.05]；12导联动态心电图对阵发性房颤的检出率[3.70％（42/1136）]显著高于常规12导联心电图、心电监护[0.62％（7/1136）、0.44％（5/1136），P ﹤0.05]。结论12导联动态心电图对心血管病患者和非心血管病患者实施房颤及阵发性房颤检测效果较好。Objective To analyze the detection effects of 12-lead Holter on the implementation of atrial fibrillation and paroxysmal atrial fibrillation of patients with cardiovascular disease and non-cardi-ovascular disease. Methods The clinical data of 1 136 cases received 12-lead Holter from May 2012 to May 2015 were statistically analyzed. Results The incidence of atrial fibrillation of the cardiovascular disease group[18. 24%（122 / 669）]was significantly higher than that of the non-cardiovascular disease group[12. 63%（59 / 467）,P ﹤ 0. 05],the paroxysmal atrial fibrillation[83. 33%（35 / 42）]was signif-icantly higher than that of the non-cardiovascular disease group[16. 67%（7 / 42）,P ﹤ 0. 05];On the subject of paroxysmal atrial fibrillation,the rate of 12-lead Holter[3. 70%（42 / 1 136）]was significantly higher than conventional 12-lead ECG,ECG[0. 62%（7 / 1 136）,0. 44%（5 / 1 136）,P ﹤ 0. 05]. Conclusions The detection effects of 12-lead Holter on the implementation of atrial fibrillation and parox-ysmal atrial fibrillation of patients with cardiovascular disease and non-cardiovascular disease are better.

关 键 词：12导联动态心电图 心血管病 非心血管病 心房颤动 阵发性房颤 

分 类 号：R541.4[医药卫生—心血管疾病]