动态心电图与常规心电图诊断孕妇心律失常的临床对比  被引量:1

Clinical Comparison of Dynamic Electrocardiography and Routine Electrocardiogram in the Diagnosis of Arrhythmia in Pregnant Women

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作  者:李艳艳 Li Yanyan(Department of Function,Puyang Maternal and Child Health Care Hospital,Puyang 457300)

机构地区:[1]濮阳市妇幼保健院功能科,濮阳457300

出  处:《数理医药学杂志》2021年第11期1605-1607,共3页Journal of Mathematical Medicine

摘  要:目的:对比动态心电图与常规心电图诊断孕妇心律失常的临床价值。方法:纳入某院于2019年1月~12月间门诊产检的孕妇共102例作为研究样本,再将所有孕妇按照妊娠期分为孕早期(不足孕12周)、孕中期(孕12~28周)、孕晚期(超过孕28周)各34例,均给予动态心电图与常规心电图检查,评价心律失常的检出率。结果:动态心电图对偶发和频发心律失常检出率均高于常规心电图检出率(P<0.05)。孕早期组患者的房性早搏发生率、室性早搏发生率、窦性心动过速发生率、房性早搏二三联律、室性早搏二三联律均明显低于孕中期组、孕晚期组(P<0.05);孕中期组患者的房性早搏发生率、室性早搏发生率、窦性心动过速发生率、房性早搏二三联律、室性早搏二三联律均明显低于孕晚期组(P<0.05);3组的房室传导阻滞无明显差异(P>0.05)。结论:在孕妇心律失常诊断中应用动态心电图准确率高于常规心电图,有助于早期发现其心脏功能异常,从而指导临床治疗,改善预后。Objective:To compare of the clinical value of dynamic electrocardiography and routine electrocardiogram in the diagnosis of arrhythmia in pregnant women.Methods:A total of 102 pregnant women in a hospital from January to December 2019 were selected and divided into early pregnancy group(less than 12 weeks),middle pregnancy group(12~28 weeks)and late pregnancy group(more than 28 weeks),with 34 cases in each group.All the pregnant women were given DCG and routine ECG examination to evaluate the detection rate of arrhythmia.Results:The detection rate of DCG in occasional and frequent arrhythmias was higher than that of routine electrocardiogram(P<0.05).The incidences of atrial premature beats,ventricular premature beats,and nodal tachycardia,and the second and triple rhythms of atrial premature beats and ventricular premature beats in early pregnancy group were significantly lower than those in middle pregnancy group and late pregnancy group(P<0.05).The incidences of atrial premature beat,ventricular premature beat,and nodal tachycardia,and the second and triple rhythms of atrial premature beat and ventricular premature beat in middle pregnancy group were significantly lower than those in the late pregnancy group(P<0.05).There was no significant difference in atrioventricular heart block between the three groups(P<0.05).Conclusion:The accuracy rate of DCG in the diagnosis of arrhythmia in pregnant women is higher than that of routine electrocardiogram,which is helpful to find the abnormal cardiac function in early stage,guide the clinical treatment and improve the prognosis.

关 键 词:动态心电图 常规心电图 心律失常 窦性心动过速 房性早搏二三联律 房室传导阻滞 

分 类 号:R444[医药卫生—诊断学]

 

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