常规心电图在心房颤动筛查中的应用  

Clinical application of routine electrocardiogram in screening of atrial fibrillation

作　　者：王巧玲 徐金义[2] 胡蕾娣 方敏 方晓娟 张灏 杨丽红[2] 张娜[2] Wang qiaoling;Xu jinyi;Hu leidi;Fang min;Fang xiaojuan;Zhang hao;Yang lihong;Zhang na(Yunan Branch of the First Affiliated Hospital of Xinxiang Medical College,Luoshan County People’sHospital,Xinyang City,Henan Province,464200,China;Henan Provincial Peopled Hospital,450003,China)

机构地区：[1]河南省信阳市罗山县人民医院新乡医学院第一附属医院豫南分院,464200 [2]河南省人民医院,450003

出　　处：《临床心电学杂志》2021年第6期425-428,共4页Journal of Clinical Electrocardiology

摘　　要：目的 探讨常规心电图检查患者的心房颤动检出情况,分析心房颤动在不同年龄段的发病率以及心电图特点。方法 回顾性分析2017年1月至2020年12月来我院心电图室行常规心电图检查的患者126276例,按年龄分为7组,分析各个年龄组心房颤动检出率,以及合并快心室率型、慢心室率型、ST或/和T波异常、左心室高电压、完全/不完全性右束支阻滞、完全/不完全性左束支阻滞、左前分支阻滞、二度以上房室阻滞、≥3.0s长RR间期、室性早搏等心电现象的发生率。结果 男性检出率3.46%,女性3.45%,≥80岁组检出率最高,随着年龄的增长检出率增高,差异有统计学意义(p<0.05)。其中合并常见心电图现象发生率最高为ST或/和T波异常,其次为快心室率型,完全/不完全性右束支阻滞、室性早搏。结论 常规心电图是心房颤动以及其他异常心电现象检出的简单便捷的检测技术,临床应用价值显著。Objective To investigate the detection of atrial fibrillation in patients with routine electrocardiogram(ECG) examination, analyze the incidence rate of atrial fibrillation in different ages and the characteristics of ECG.Methods A retrospective analysis of 126276 patients who underwent routine electrocardiogram examination in electrocardiogram room from 2017 to December 2020, was divided into 7 groups by age, and the detection rate of atrial fibrillation in all age groups was analyzed. Results The detection rate was 3.46% in male and 3.45% in female,and the detection rate was the highest in group over 80 years old, With the increase of age, the detection rate increased, and the difference was statistically significant(p<0.05). Among them, the most common ECG phenomenon was st or(and) T wave abnormality, followed by fast ventricular rate type, incomplete right bundle branch block and ventricular premature beat. Conclusions Routine ECG is a simple and convenient detection technology for atrial fibrillation and other abnormal ECG phenomena, with significant clinical application value.

关 键 词：心电图 心房颤动 ST-T异常 室性早搏 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]