侵入性心脏电生理检查在快速心律失常诊断中的应用研究  

Application Study of Invasive Cardiac Electrophysiology in the Diagnosis of Tachyarrhythmia

作　　者：曲桂一[1] 张姝兰[1] 李敬涛[1] 夏振伟[1] QU Gui-yi;ZHANG Shu-lan;LI Jing-tao;XIA Zhen-wei(Department of Electrocardiology,Dalian Central Hospital,Dalian 116033,China)

机构地区：[1]大连市中心医院心电生理科,辽宁大连116033

出　　处：《中国医药指南》2020年第15期24-26,共3页Guide of China Medicine

摘　　要：目的探究侵入性心脏电生理检查在快速心律失常诊断中的应用价值。方法在2018年4月至2019年4月,选择本院收治的心律失常患者80例,将其视为研究对象并以简单随机法分成对照组、观察组,一组40例。对照组采取体表十二导联心电图检查并对心电图做出分析诊断心律失常类型,观察组采取侵入性心脏电生理检查对快速心律失常进行诊断,观察射频消融手术治疗效果评价对比两种检查对心律失常诊的断率。结果观察组心律失常诊断率明显高于对照组,组间数据对比:P<0.05。对40例观察组患者的临床资料进行回顾,其中33例患者均有间断心悸而接受侵入性心脏电生理检查诱发试验后,明确诊断房室结折返心动过速21例、12例房室折返性心动过速。另外7例患者则因为间断性心悸接受侵入性心脏电生理检查未诱发出心律失常,加用异丙肾上腺素后心律失常发生进而明确诊断,经射频消融治疗后效果良好。而对照组经常规体表心电图分析则显示,提示房室结折返性心动过速15例、房性心动过速12例,房扑5例,房室折返8例,按照诊断结果进行射频消融手术部分效果不加,经心内电生理检查诊断结果与体表心电图分析结果不一致。与观察组相比较差异性具有统计学意义:P>0.05。结论相较于体表心电图检查,侵入性心脏电生理检查在诊断心律失常中能够取得更理想的效果,其操作简单、准确性较高、具有较高的安全性。Objective To explore the value of invasive cardiac electrophysiology in the diagnosis of rapid arrhythmia.Methods From April 2018 to April 2019,80 patients with arrhythmia admitted to our hospital were selected and treated as research subjects.They were divided into a control group and an observation group by a simple random method,a group of 40 patients.The control group took a twelve-lead electrocardiogram examination of the body surface and analyzed the electrocardiogram to diagnose the type of arrhythmia.The observation group used an invasive cardiac electrophysiological examination to diagnose rapid arrhythmia.Arrhythmia diagnosis rate.Results The diagnosis rate of arrhythmia in the observation group was significantly higher than that in the control group,and the data comparison between the groups was P<0.05.The clinical data of 40 patients in the observation group were reviewed.Among them,33 patients had intermittent heart palpitations and received an invasive cardiac electrophysiological test.Then 21 cases of atrioventricular nodal reentry and tachycardia were clearly diagnosed.Tachycardia.Another 7 patients did not induce arrhythmia due to intermittent heart palpitations underwent invasive cardiac electrophysiological examination.After the addition of isoproterenol,arrhythmia occurred and the diagnosis was confirmed,and the effect was good after radiofrequency ablation treatment.The analysis of the conventional body surface electrocardiogram of the control group showed that 15 cases of atrioventricular nodal reentrant tachycardia,12 cases of atrial tachycardia,5 cases of atrial flutter,and 8 cases of atrioventricular reentry were performed according to the diagnosis results.Part of the effect is not added,and the diagnosis results of intracardiac electrophysiological examination are inconsistent with the results of surface electrocardiogram analysis.Compared with the observation group,the difference was statistically significant:P>0.05.Conclusion Compared with body surface electrocardiogram examination,in

关 键 词：侵入性 心电图 生理检查 心律失常 诊断 应用效果 

分 类 号：R541.7[医药卫生—心血管疾病]