穿戴式长程动态心电监测记录仪在冠心病患者PCI术后的应用研究  

Application of Wearable Long-Range Dynamic Electrocardiogram Monitoring Recorder in Patients with Coronary Heart Disease after PCI

作　　者：仲艳丽 李丽娟 曹晓红 ZHONG Yanli;LI Lijuan;CAO Xiaohong(Department of Electrophysiology,the First Hospital of Zhangjiakou City,Zhangjiakou,Hebei 075000,China;Department of ICU,the First Hospital of Zhangjiakou City,Zhangjiakou,Hebei 075000,China)

机构地区：[1]张家口市第一医院电生理科,河北张家口075000 [2]张家口市第一医院ICU科,河北张家口075000

出　　处：《临床误诊误治》2025年第9期77-81,共5页Clinical Misdiagnosis & Mistherapy

基　　金：张家口市重点研发计划项目(2322175D)。

摘　　要：目的 探讨穿戴式长程动态心电监测记录仪在冠心病患者经皮冠状动脉介入(PCI)术后的应用效果。方法 选取2022年8月至2023年8月收治的行PCI术的冠心病患者105例,根据不同动态心电监测方式分为传统组51例和研究组54例。传统组采用常规24 h动态心电图监测,研究组先采用常规24 h动态心电图监测后间隔24 h再进行新型穿戴式长程动态心电监测记录仪监测24 h。比较2组监测结果、检出异常时间和报告时间、心电图检查设备佩戴舒适满意度和不良事件发生情况。结果 研究组房性早搏、房性早搏成对及二三联律、室性早搏、室性早搏成对及二三联律、短阵性室上性心动过速、室性心动过速的检出率均高于传统组(P<0.05,P<0.01)。研究组检出异常时间和报告时间均短于传统组(P<0.01)。研究组心电图检查设备佩戴舒适情况总满意度[92.59%(50/54)]高于传统组[78.43%(40/51)],差异有统计学意义(P<0.05)。研究组不良事件发生率[1.85%(1/54)]低于传统组[11.73%(6/51)],差异有统计学意义(P<0.05)。结论 新型穿戴式长程动态心电监测记录仪能够进行长时程持续监测,并缩短检出异常时间和报告时间,提高了患者舒适度,且不良事件发生率低。Objective To explore the application effect of wearable long-range dynamic electrocardiogram monitoring recorder on patients with coronary heart disease(CHD) after percutaneous coronary intervention(PCI).Methods In total,105 CHD patients who received PCI were selected from August 2022 to August 2023.According to different dynamic electrocardiogram monitoring methods,the patients were divided into traditional group(n=51) and research group(n=54).The traditional group received traditional 24 h dynamic electrocardiogram monitoring,while the research group was given traditional 24 h dynamic electrocardiogram monitoring,which was,then after an interval of 24 h,given a new wearable long-range dynamic electrocardiogram recorder for monitoring for 24 h.The monitoring results,abnormality detection time and reporting time,comfort satisfaction of wearing electrocardiogram examination equipment,and occurrence of adverse events were compared between the two groups.Results The detection rates of atrial premature beats,paired atrial premature beats and bi-triple rhythm,ventricular premature beats,paired atrial premature beats and bi-triple rhythm,paroxysmal supraventricular tachycardia and ventricular tachycardia in research group were higher than those in traditional group(P<0.05,P<0.01).The abnormality detection time and reporting time were shorter in research group than those in traditional group(P<0.01).The total comfort satisfaction of electrocardiogram examination equipment wearing in research group was 92.59%(50/54),which was higher than 78.43%(40/51) in traditional group,with a significant difference(P<0.05).The incidence of adverse events with 1.85%(1/54) in research group was lower than 11.73%(6/51) in traditional group,with a significant significance(P<0.05).Conclusion New wearable long-range dynamic electrocardiogram recorder can carry out long-term continuous monitoring,shorten the abnormality detection time and reporting time,and enhance the comfort of patients,and it has low incidence of adverse events.

关 键 词：穿戴式动态心电记录仪 长程动态监测 冠心病 经皮冠状动脉介入术 房性早搏 室性心动过速 舒适 不良事件 

分 类 号：R541.4[医药卫生—心血管疾病]