CAJ | 학술논문

目的探讨远程心电监测对心律失常诊断的应用价值.方法选取2010年4月-2011年12月来我院就诊的80例心律失常患者,每位患者先进行24小时动态心电图监测,动态心电图监测结束后再进行远程心电监测.分析两种监测方法所得的心电数据,计算心律失常检出率,比较心律失常检出率并对两种方法检测出的心律失常患者进一步行心律失常类型分析.结果 24小时动态心电图中,心律失常检出率为52.5％,不规则心律失常患者检出3例;远程心电监测的心律失常检出率为86.3％,不规则心律失常患者检出2例(P＜0.05).结论远程心电监测不仅可以实行远程心电记录给心律失常诊断带来便利,检出率较高,而且对不规则心律失常也有一定检出率,是院内常规心电图检查和24小时动态心电图检查的有力补充,在临床诊断心律失常中具有重要意义.
목적 탐토원정심전감측대심률실상진단적응용개치.방법 선취2010년4월-2011년12월래아원취진적80례심률실상환자,매위환자선진행24소시동태심전도감측,동태심전도감측결속후재진행원정심전감측.분석량충감측방법소득적심전수거,계산심률실상검출솔,비교심률실상검출솔병대량충방법검측출적심률실상환자진일보행심률실상류형분석.결과 24소시동태심전도중,심률실상검출솔위52.5％,불규칙심률실상환자검출3례;원정심전감측적심률실상검출솔위86.3％,불규칙심률실상환자검출2례(P＜0.05).결론 원정심전감측불부가이실행원정심전기록급심률실상진단대래편리,검출솔교고,이차대불규칙심률실상야유일정검출솔,시원내상규심전도검사화24소시동태심전도검사적유력보충,재림상진단심률실상중구유중요의의.
Objective To investigate the application value of remote ECG monitoring for arrhythmia diagnosis.Methods From April 2010 to December 2011, 80 cases of arrhythmia patients treated in our hospital were.chosen,at first,each patient had a 24-hour Holter monitoring.After the end of Holter monitoring,80 patients had the remote ECG monitoring, then we analyzed the ECG data of the two monitoring methods.Arthythmia detection rates of the two methods were calculated.The arrhythmia detection rates were compared and the types of arrhythmia were analyzed.Results The arrhythmia detection rate of 24-hour ambulatory ECG was 52.5％,3 cases were detected irregular arrhythmia; the detection rate of remote ECG monitoring was 86.3％,2 cases detected irregular arrhythmia(P ＜ 0.05).Conclusion Remote ECG monitoring can not only bring convenience to the arrhythmia diagnosis,but also has a higher detection rate,a certain detection to irregular heart rate.It is a strong complement of hospital routine heart rate diagram check and 24-hour Holter.So remote ECG monitoring has a great significance in the clinical diagnosis of abnormal heart rhythms.