动态心电图对冠心病心律失常患者的诊断价值(1)
[摘要]目的 探讨动态心电图对冠心病心律失常患者的诊断价值。方法 选取2016年12月～2017年12月我院收治的的60例冠心病心律失常患者作为研究对象，采取随机数字表法分为对照组和观察组，每组各30例。对照组采取常规心电图诊断，观察组采取动态心电图诊断，比较两组患者的诊断价值。结果 观察组的室性心律失常、房性心律失常、房室传导阻滞和短针室上速等指标检测率明显高于对照组，差异有统计学意义(P<0.05)；观察组患者的诊断总满意度为96.67%，明显高于对照组的76.67%，差异有统计学意义(P<0.05)。结论 对冠心病心率失常患者采取动态心电图监测，可有效监测患者的心律失常发作时间和冠状缺血状况，予以及时有效的干预治疗，避免病情恶化，具有较高的价值意义，同时为临床医师诊断和治疗疾病提供充足的参考信息，值得进一步推广采纳。
[关键词]冠心病；心律失常；动态心电图；诊断价值
[中图分类号] R541.4 [文献标识码] A [文章编号] 1674-4721(2018)9(b)-0063-03
[Abstract] Objective To observe the diagnostic value of dynamic electrocardiogram for patients with arrhythmia of coronary heart disease. Methods A total of 60 patients with coronary heart arrhythmia treated in our hospital from December 2016 to December 2017 were selected as the subjects， and divided into the control group and the observation group by the random digital table method， with 30 cases in each group. The control group received routine electrocardiogram diagnosis， while the observation group took the dynamic electrocardiogram diagnosis. The diagnostic value of the two groups were compared. Results The detection rates of ventricular arrhythmia， atrial arrhythmia， atrioventricular block and short needle supraventricular speed in the observation group were significantly higher than those in the control group， with a significant difference (P<0.05). The diagnostic total satisfaction of the observation group was 96.67%， which was significantly higher than that of the control group (76.67%)， the difference was statistically significant (P<0.05). Conclusion Dynamic electrocardiogram monitoring for patients with arrhythmia of coronary heart disease can effectively monitor the time of arrhythmia and the condition of coronary ischemia， gives timely and effective intervention treatment， avoids the deterioration of the disease， has high value， and provides sufficient reference information for clinicians to diagnose and treat the disease. It has to be further promoted and adopted.
[Key words] Coronary heart disease； Arrhythmia； Dynamic electrocardiogram； Diagnostic value
目前，冠心病等容易合并心律失常現象，好发于中老年人群，其发病率随年龄增长呈现出逐渐上升趋势，给患者健康带来严重的危害[1]。因此，及时早期诊断与治疗至关重要。现阶段，临床主要对疾病采取常规心电图和动态心电图进行诊断。常规心电图检查具有无创、重复性良好、价格优惠、方便、简捷、环境要求较低、检查时间较短等优势，患者在处于安静的状态下，方可予以检查。可该方式具有较高的漏诊率，若冠心病患者的心脏血流动力学无显著变化，且冠状动脉血流供应不足或心肌缺血症状不存在时，其检查均显示正常结论，导致漏诊状况发生[2]。而动态心电图可对人体整天的睡眠、坐立和运动等各种状态下的心电信息进行记录，将各种不良心电现象及时捕捉下来，在监测有关心脏病症上明显高于常规心电图，具有较高的的诊断价值。近年来，临床上动态心电图被广泛应用[3]。本研究选取我院收治的60例冠心病心律失常患者作为研究对象，通过对各项资料的分析研究，旨在探讨冠心病心律失常动态心电图检查的诊断意义和应用效果，现报道如下。, 百拇医药(陈琦菲)
[关键词]冠心病；心律失常；动态心电图；诊断价值
[中图分类号] R541.4 [文献标识码] A [文章编号] 1674-4721(2018)9(b)-0063-03
[Abstract] Objective To observe the diagnostic value of dynamic electrocardiogram for patients with arrhythmia of coronary heart disease. Methods A total of 60 patients with coronary heart arrhythmia treated in our hospital from December 2016 to December 2017 were selected as the subjects， and divided into the control group and the observation group by the random digital table method， with 30 cases in each group. The control group received routine electrocardiogram diagnosis， while the observation group took the dynamic electrocardiogram diagnosis. The diagnostic value of the two groups were compared. Results The detection rates of ventricular arrhythmia， atrial arrhythmia， atrioventricular block and short needle supraventricular speed in the observation group were significantly higher than those in the control group， with a significant difference (P<0.05). The diagnostic total satisfaction of the observation group was 96.67%， which was significantly higher than that of the control group (76.67%)， the difference was statistically significant (P<0.05). Conclusion Dynamic electrocardiogram monitoring for patients with arrhythmia of coronary heart disease can effectively monitor the time of arrhythmia and the condition of coronary ischemia， gives timely and effective intervention treatment， avoids the deterioration of the disease， has high value， and provides sufficient reference information for clinicians to diagnose and treat the disease. It has to be further promoted and adopted.
[Key words] Coronary heart disease； Arrhythmia； Dynamic electrocardiogram； Diagnostic value
目前，冠心病等容易合并心律失常現象，好发于中老年人群，其发病率随年龄增长呈现出逐渐上升趋势，给患者健康带来严重的危害[1]。因此，及时早期诊断与治疗至关重要。现阶段，临床主要对疾病采取常规心电图和动态心电图进行诊断。常规心电图检查具有无创、重复性良好、价格优惠、方便、简捷、环境要求较低、检查时间较短等优势，患者在处于安静的状态下，方可予以检查。可该方式具有较高的漏诊率，若冠心病患者的心脏血流动力学无显著变化，且冠状动脉血流供应不足或心肌缺血症状不存在时，其检查均显示正常结论，导致漏诊状况发生[2]。而动态心电图可对人体整天的睡眠、坐立和运动等各种状态下的心电信息进行记录，将各种不良心电现象及时捕捉下来，在监测有关心脏病症上明显高于常规心电图，具有较高的的诊断价值。近年来，临床上动态心电图被广泛应用[3]。本研究选取我院收治的60例冠心病心律失常患者作为研究对象，通过对各项资料的分析研究，旨在探讨冠心病心律失常动态心电图检查的诊断意义和应用效果，现报道如下。, 百拇医药(陈琦菲)