动态心电图诊断冠心病伴心律失常的临床价值  

Clinical Value of Dynamic Electrocardiogram on Diagnosis of Coronary Heart Disease With Arrhythmia

作　　者：钟桂秀 石雪连 饶友鹏[1] ZHONG Guixiu;SHI Xuelian;RAO Youpeng(Electrocardiogram Room,The Second Hospital of Longyan,Longyan Fujian 364000,China)

机构地区：[1]福建省龙岩市第二医院心电图室,福建龙岩364000

出　　处：《中国卫生标准管理》2022年第8期82-85,共4页China Health Standard Management

摘　　要：目的观察冠心病伴心律失常进行动态心电图检查的临床诊断价值。方法临床2019年3月—2021年1月在本院接受诊治的冠心病伴心律失常患者100例,同时予以24 h动态心电监护检查和常规心电图检查,比较两种检查方式的冠心病心律失常临床特征检出情况;比较两种检查方式阳性诊断检出情况;比较患者对两种检查方式的舒适度、安全性、准确性、实用性、经济性评分情况。结果24 h动态心电监护对于房室传导阻滞、短阵室上速、房性早搏成对、室性早搏早发、房性早搏早发、室性早搏二/三联律、房性早搏二/三联律等冠心病心律失常临床特征检出情况显著高于常规心电图检查,差异有统计学意义(P<0.05);对冠心病伴心律失常阳性诊断检出情况显著高于对照组,差异有统计学意义(P<0.05);24 h动态心电监护患者对检查方式的舒适度、安全性、准确性、实用性评分显著高于常规心电图,差异有统计学意义(P<0.05),而两种方法的经济性评分差异无统计学意义(P>0.05)。结论冠心病伴心律失常予以24 h动态心电图监护,诊断准确率更高,可提高患者对检查方式的舒适度和认可度,安全性和实用性更高,值得临床推广。Objective To analyze the clinical value of dynamic electrocardiogram on diagnosis of coronary heart disease with arrhythmia.Methods A total of 100 coronary heart disease patients with arrhythmia treated from March 2019 to January 2021 in our hospital were selected.24-hour dynamic electrocardiogram monitoring and routine electrocardiogram were performed.Group comparisons were made through clinical feature detection conditions,positive diagnosis rates,patient’s comfort levels,examination safety,accuracy,practicability and economical efficiency scores.Results The detection rates of atrioventricular block,paroxysmal ventricular tachycardia,paired atrial premature beats,ventricular premature beat,atrial premature beats,ventricular premature beat(in the form of bigeminy/trigeminy),atrial premature beats(in the form of bigeminy/trigeminy)based on 24 h dynamic electrocardiogram were significantly higher than those of routine electrocardiogram(P<0.05);the positive detection rate based on 24 h dynamic electrocardiogram was significantly higher than that of routine electrocardiogram(P<0.05);patient’s comfort levels,examination safety,accuracy and practicability scores based on 24-hour dynamic electrocardiogram monitoring were significantly higher than those of routine electrocardiogram(P<0.05);the economical efficiency scores based on two examination modes were not significantly different(P>0.05).Conclusion 24-hour dynamic electrocardiogram monitoring can improve the diagnosis accuracy,patient’s comfort levels,recognition degree,examination safety and practicability.It is worthy of clinical promotion.

关 键 词：临床检查 诊断价值 心律失常 冠心病 动态心电图 常规心电图 

分 类 号：R446[医药卫生—诊断学]