穿戴式长时程远程心电监测仪与传统24 h动态心电图在老年心律失常诊断中的应用效果  

Application effect of wearable long-term remote electrocardiogram monitor and traditional 24 h dynamic electrocardiogram in the diagnosis of senile arrhythmia

作　　者：郭光耀 张郁澜 余媛媛 徐婧婧 张志国 欧丽敏 GUO Guangyao;ZHANG Yulan;YU Yuanyuan;XU Jingjing;ZHANG Zhiguo;OU Limin(Department of Family Sickbed,Fuzhou Seventh Hospital,Fujian Province,Fuzhou350001,China;Department of Science and Education,Fuzhou Seventh Hospital,Fujian Province,Fuzhou350001,China;Electrocardiographic Room,Fuzhou Seventh Hospital,Fujian Province,Fuzhou350001,China)

机构地区：[1]福州市第七医院家庭病床科,福建福州350001 [2]福州市第七医院科教科,福建福州350001 [3]福州市第七医院心电图室,福建福州350001

出　　处：《中国当代医药》2022年第22期54-56,共3页China Modern Medicine

基　　金：福建省福州市卫生健康中青年科学研究项目资助(2020-S-wq20)。

摘　　要：目的探讨穿戴式长时程远程心电监测仪与传统24 h动态心电图在老年心律失常诊断中的应用效果。方法回顾性分析2020年10月至2021年9月福州市第七医院的150例老年心血管病患者的临床资料,按照不同的心电监测方法分为对照组、观察A组及观察B组,每组各50例。对照组采用传统24 h动态心电图进行心电监测,观察A组及观察B组采用穿戴式长时程远程心电监测仪分别进行24、72 h长程远程实时心电监测,比较三组患者的心律失常事件检出率及不良反应发生率。结果对照组、观察A组及观察B组的心律失常事件检出率比较,差异有统计学意义(P<0.001);对照组与观察A组的心律失常事件检出率比较,差异无统计学意义(P>0.05);观察B组的心律失常事件检出率分别高于对照组与观察A组,差异均有统计学意义(P<0.017)。三组患者监测期间的红斑、水肿及痒痛感等不良反应发生率比较,差异无统计学意义(P>0.05)。结论与传统24 h动态心电图相比,穿戴式长时程远程心电监测仪应用于老年心血管病患者中可更好地检出心律失常,且监测期间无明显不良反应,操作安全性较高。Objective To explore the application effect of wearable long-term remote electrocardiogram monitor and traditional 24 h dynamic electrocardiogram in the diagnosis of senile arrhythmia.Methods The clinical data of 150 elderly patients with cardiovascular disease in Fuzhou Seventh Hospital from October 2020 to September 2021 were retrospectively analyzed.According to different electrocardiogram monitor methods,they were divided into the control group,the observation group A and the observation group B,with 50 cases in each group.The control group was monitored by traditional 24 h dynamic electrocardiogram,and the observation group A and the observation group B were monitored by wearable long-term remote electrocardiogram monitor for 24 and 72 hours respectively.The detection rate of arrhythmia events and the incidence of adverse reactions were compared among the three groups.Results There was significant difference in the detection rate of arrhythmia events between the control group,the observation group A and the observation group B(P<0.001).There was no significant difference in the detection rate of arrhythmia events between the control group and the observation group A(P>0.05).The detection rate of arrhythmia events in the observation group B was higher than that in the control group and the observation group A,and the differences were statistically significant(P<0.017).There were no significant differences in the incidence of erythema,edema,itching and pain among the three groups during the monitoring period(P>0.05).Conclusion Compared with the traditional 24 h dynamic electrocardiogram,the wearable long-term remote electrocardiogram monitor can better detect arrhythmia in elderly patients with cardiovascular disease,and there is no obvious adverse reaction during the monitoring period,and the operation safety is higher.

关 键 词：穿戴式长时程远程心电监测仪 24 h动态心电图 心血管病 老年心律失常 

分 类 号：R540.41[医药卫生—心血管疾病]