动态心电图对妊娠合并高血压心律失常患者作用分析  

Value of Holter Electrocardiogram in the Diagnosis of Hypertensive Arrhythmia during Pregnancy

作　　者：李茜 李晓燕[1] 王静[1] Li Qian;Li Xiaoyan;Wang Jing(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan 471000)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000

出　　处：《辽宁医学杂志》2021年第4期69-71,共3页Medical Journal of Liaoning

摘　　要：目的分析动态心电图用于妊娠合并高血压心律失常患者的临床作用。方法本文对医院2018年1月-2020年1月诊治的妊娠合并高血压患者80例作为动态心电图检测对象。分析妊娠高血压患者心率失常发生情况和心律失常类型,比较不同妊娠高血压类型心律失常发生率和动态心电图改变种类。结果80例妊娠高血压患者中42例出现心律失常,发生率为52.5%。窦性心动过速52.38%、房性早搏14.29%、阵发性室上速9.52%、右束支传导阻滞7.14%、右束支+左前分支阻滞4.77%、室性早搏2.38%、房性早搏+室性早搏9.52%。轻度子痫前期心律失常发生率16.13%,中度子痫前期律失常发生率68.42%,重度子痫前期律失常发生率80%,差异比较有统计学意义(P<0.05)。轻度子痫前期、中度子痫前期、重度子痫前期ST-T改变率差异比较有统计学意义(P<0.05),Q-T间期延长、U波倒置、左室高电压率差异比较无统计学意义(P>0.05)。结论动态心电图能诊断妊娠合并高血压心律失常能明确心律失常发生情况和心律失常类型,明确妊娠高血压类型的心律失常发生和动态心电图改变类型,建议使用。Objective To investigate value of Holter electrocardiogram in the diagnosis of hypertensive arrhythmia during pregnancy.Methods 80 cases of pregnancy complicated with hypertension in hospital from January 2018 to January 2020 receiving Holter electrocardiogram detection were enrolled.The incidence of arrhythmia and the types of arrhythmia of patients were analyzed,and the incidence of arrhythmia in different types of gestational hypertension and the changes of Holter electrocardiogram were compared.Results Arrhythmia occurred in 42 of the 80 patients with gestational hypertension,with an incidence of 52.5%,including sinus tachycardia(52.38%),atrial premature beat(14.29%),paroxysmal supraventricular tachycardia(9.52%),right bundle branch block(7.14%),right bundle branch+left anterior branch block(4.77%),ventricular premature beat(2.38%),and ventricular premature beat+ventricular premature beat(9.52%).The proportions of preeclampsia arrhythmia of mild,moderate and severe degrees were 16.13%,68.42%and 80%,respectively(P<0.05).Patients with mild preeclampsia,moderate preeclampsia,and severe preeclampsia showed significant difference in St-t change rates(P<0.05),while had no significant difference in Q-T interval prolongation,U wave inversion,and left ventricular high voltage rate(P>0.05).Conclusion Holter electrocardiogram can clearly diagnose the occurrence and type of arrhythmia in pregnancy complicated with hypertensive arrhythmia,as well as the dynamic electrocardiogram changes in pregnancy complicated with hypertension.

关 键 词：动态心电图 妊娠高血压 心律失常 类型 改变 

分 类 号：R714.25[医药卫生—妇产科学]