动态心电图在心房颤动患者临床诊疗中的监测价值  

Monitoring Value of Dynamic Electrocardiogram in the Clinical Diagnosis and Treatment of Patients with Atrial Fibrillation

作　　者：叶沛 曾桂香 YE Pei;ZENG Gui-xiang(ECG Room,Nanchang People's Hospital,Nanchang 330000,Jiangxi,China)

机构地区：[1]南昌市人民医院心电图室,江西南昌330000

出　　处：《医学信息》2024年第16期139-141,152,共4页Journal of Medical Information

摘　　要：目的研究动态心电图(DCG)在心房颤动(AF)患者临床诊疗中的监测价值。方法以2022年3月-2023年3月于我院确诊的78例AF患者设为AF组,另取50例同期体检健康者设为健康组,两组均给予DCG监测,比较两组DCG监测参数[P波离散度(Pd)、P波最大时限(Pmax)、P波最小时限(Pmin)],统计AF组患者白天与夜间的长RR间期发生情况,并观察AF组患者治疗前后的DCG参数与长RR间期发生情况。结果AF组Pd、Pmax值高于健康组,Pmin值低于健康组(P<0.05);AF组治疗后Pd、Pmax值低于治疗前,Pmin值高于治疗前(P<0.05);AF组患者夜间长RR间期发生率、发生次数多于白天,平均心室率小于白天(P<0.05);AF组患者治疗后长RR间期发生率、发生次数多于治疗前,平均心室率低于治疗前(P<0.05)。结论DCG在AF临床诊疗中具有确切监测价值,其心电参数可反映疾病的发生与治疗情况。Objective To study the monitoring value of dynamic electrocardiogram(DCG)in the clinical diagnosis and treatment of patients with atrial fibrillation(AF).Methods A total of 78 patients with AF diagnosed in our hospital from March 2022 to March 2023 were set as AF group,and 50 healthy people who underwent physical examination during the same period were set as healthy group.Both groups were given DCG monitoring.The DCG monitoring parameters[P-wave dispersion(Pd),P-wave maximum time limit(Pmax),P-wave minimum time limit(Pmin)]were compared between the two groups.The occurrence of long RR intervals during the day and night in the AF group was counted,and the DCG parameters and the occurrence of long RR intervals before and after treatment in the AF group were observed.Results The Pd and Pmax values of the AF group were higher than those of the healthy group,and the Pmin value was lower than that of the healthy group(P<0.05).In AF group,the Pd and Pmax values after treatment were lower than those before treatment,and the Pmin value was higher than that before treatment(P<0.05).The incidence and frequency of long RR interval at night in the AF group were higher than those in the daytime,and the average ventricular rate was lower than that in the daytime(P<0.05).After treatment,the incidence and frequency of long RR interval in the AF group were higher than those before treatment,and the average ventricular rate was lower than that before treatment(P<0.05).Conclusion DCG has definite monitoring value in the clinical diagnosis and treatment of AF,and its ECG parameters can reflect the occurrence and treatment of the disease.

关 键 词：心房颤动 动态心电图 P波离散度 长RR间期 房室传导阻滞 

分 类 号：R541.7[医药卫生—心血管疾病] R444[医药卫生—内科学]