充血性心力衰竭合并房性心律失常患者动态心电图特征分析  

The characteristics and clinical value of dynamic electrocardiogram in the treatment of patients with congestive heart failure and atrial arrhythmia

作　　者：方天慧 戈睿佗 叶如 

机构地区：[1]乐清市人民医院心电图室,浙江省乐清325600 [2]乐清市人民医院心内科,浙江省乐清325600

出　　处：《中国基层医药》2016年第17期2629-2632,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：研究充血性心力衰竭合并房性心律失常（CHF-ATA）患者动态心电图（DCG）的临床特征及其应用价值。方法将226例充血性心力衰竭（CHF）患者作为观察对象，根据诊断结果将124例 CHF-ATA 患者分为观察组（OSG）组，102例 CHF 患者分为对照组（CTG），使用 DCG 记录仪监测患者的心电图，记录其心房纤颤（AFR）、心房扑动（AFL）、房性心动过速（ATC）和房性期前收缩（PAC）等 ATA 情况进行统计分析。结果 OSG 组124例患者发生 ATA（824．6±108．2）次（与对照组相比，t ＝9．054，P ＝0．019），其中 ATC （80．4±25．8）例（与对照组相比，t ＝8．934，P ＝0．021），持续时间（25．4±9．7）s，AFL（26．8±7．1）例（与对照组相比，t ＝9．162，P ＝0．014），持续时间（13．5±5．8）s，AFR（97．5±51．3）次（与对照组相比，t ＝9．314，P ＝0．009），持续时间（70．1±18．5）s，PAC（41．9±14．3）例（与对照组相比，t ＝8．796，P ＝0．026），持续时间（34．8±11．2）s；CTG 组102例患者发生 ATA（102．6±59．3）次，其中 ATC（69．5±19．4）例，持续时间（5．7±1．3）s， AFL（8．5±2．6）例，持续时间（2．6±0．9）s，AFR（27．6±12．5）次，持续时间（24．8±10．4）s，PAC（21．5±8．4）例，持续时间（19．6±7．9）s，与 OSG 组差异有统计学意义（t ＝8．796，P ＜0．05）。结论 CHF 患者伴发ATA 的可能性较大，对 CHF 患者进行 DCG 检查有助于对于 ATA 进行提前筛查和干预，提高患者的治疗效果，降低患者猝死概率，值得推广借鉴。Objective To investigate the characteristics and clinical value of dynamic electrocardiogram in the treatment of patients with congestive heart failure and atrial arrhythmia.Methods A total of 226 congestive heart failure patients were taken into this research.124 congestive heart failure and atrial arrhythmia patients were divided into OSG group,102 congestive heart failure patients were divided into CTG group.24 -hour Holter monitoring was examined in both groups with ATA including AFR,AFL,ATC and PAC by dynamic electrocardiogram made in Mei Gaoyi medical equipment company.Results The ATA was （824.6 ±108.2）times（compared with the control group, t =9.054,P =0.019）in 124cases of the OSG group,including ATC （80.4 ±25.8）cases （compared with the control group,P =0.021,t =8.934）.duration time （25.4 ±9.7）s,AFL （26.8 ±7.1 ）cases（compared with the control group,P =0.014,t =9.162）.duration time （13.5 ±5.8）s,AFR （97.5 ±51.3）times （compared with the control group,t =9.314,P =0.009）.duration time （70.1 ±18.5）s,PAC （41.9 ±14.3）cases （compared with the control group,t =8.796,P =0.026）.duration time （34.8 ±11.2）s.The ATA was （102.6 ±59.3）times in 102cases of the CTG group,including ATC （69.5 ±19.4）cases,duration time（5.7 ±1.3）s,AFL（8.5 ±2.6）cases,duration time （2.6 ±0.9）s,AFR （27.6 ±12.5）times,duration time,PAC（24.8 ±10.4）cases,duration time（19.6 ±7.9）s, which was significantly different with the CTG group（t =8.796,P 〈0.05）.Conclusion CHF patients are probable to be complicated with ATA.The DCG examination in CHF patients is conducive to improve the effect of treatment and limit chances of sudden death,which is worthy of promotion.

关 键 词：心力衰竭 充血性 心律失常 动态心电图 

分 类 号：R541.6[医药卫生—心血管疾病] R541.7[医药卫生—内科学]