妊娠期高血压动态心电图监测的运用研究  

Study on the application of dynamic electrocardiogram monitoring of hypertension in pregnancy

作　　者：宋美娟 SONG Meijuan(ECG Room of Functional Department,Hongdu Hospital of Traditional Chinese Medicine,Nanchang City,Jiangxi Province,Nanchang,Jiangxi,330000,China)

机构地区：[1]江西省南昌市洪都中医院功能科心电图室,江西南昌330000

出　　处：《当代医学》2022年第3期122-125,共4页Contemporary Medicine

摘　　要：目的探讨妊娠期高血压动态心电图监测的运用价值。方法选取2019年3月至2020年3月本院收治的52例妊娠期高血压孕妇作为疾病组,52例正常妊娠孕妇作为正常组,对两组孕妇实施动态心电图监测,并获取相应的心电图监测结果。结果疾病组孕妇中动态心电图异常孕妇有17例,异常率为32.7%;正常组孕妇中动态心电图异常孕妇有3例,异常率为5.8%;两组动态心电图异常率比较差异具有统计学意义(χ;=5.094,P=0.02)。疾病组窦性心动过速率(82.7%)、ST-T段改变率(98.1%)、房性早搏率(71.2%)、室性早搏率(78.8%)、窦性心动过缓率(17.3%)均高于正常组(7.7%、5.8%、5.8%、3.8%、3.8%),差异具有统计学意义(χ;=11.099,P=0.01;χ;=19.082,P=0.01;χ;=7.334,P=0.01;χ;=9.551,P=0.01;χ;=15.224,P=0.01)。结论对妊娠期高血压孕妇积极开展动态心电图监测,可及时发现动态心电图异常孕妇,了解孕妇的心律变化,帮助临床医护人员明确心电图异常的发生原因,值得临床推广应用。Objective To investigate the application value of dynamic electrocardiogram monitoring of hypertension in pregnancy.Methods From March 2019 to March 2020,52 cases of pregnancy pregnant women admitted in our hospital hypertension were selected as disease group,52 cases of normal pregnancy pregnant women were selected as normal group respectively,after dynamic electrocardiogram (ecg) monitoring for two groups of pregnant women,and obtained the corresponding electrocardiogram (ecg) monitoring results.Results There were 17 pregnant women with abnormal dynamic electrocardiogram in the disease group,and the abnormal rate was 32.7%.In the normal group,there were 3 pregnant women with abnormal dynamic electrocardiogram,the abnormal rate was 5.8%.There was statistically significant difference in the abnormal rates of dynamic electrocardiogram between the two groups (χ;=5.094,P=0.02).The rate of midsinus tachycardia (82.7%),st-T segment change rate (98.1%),atrial premature beat rate (71.2%),ventricular premature beat rate (78.8%),and sinus bradycardia rate (17.3%) in the disease group were all higher than those in the normal group (7.7%,5.8%,5.8%,3.8%,3.8%,and 3.8%,respectively),the difference was statistically significant (χ;=11.099,P=0.01;χ;=19.082,P=0.01;χ;=7.334,P=0.01;χ;=9.551,P=0.01;χ;=15.224,P=0.01).Conclusion Active monitoring of dynamic electrocardiogram in hypertensive pregnant women during pregnancy can timely detect abnormal dynamic electrocardiogram in pregnant women and detect changes in heart rate of pregnant women,and can help clinical medical staff to identify the causes of abnormal electrocardiogram,which is worthy of promotation.

关 键 词：妊娠期高血压 动态心电图 异常率 窦性心动过速 ST-T段改变 

分 类 号：R714.246[医药卫生—妇产科学]