中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
1期
42-43
,共2页
心房颤动%动态心电图%临床观察
心房顫動%動態心電圖%臨床觀察
심방전동%동태심전도%림상관찰
Atrial fibrillation%Holter monitoring%Clinical observation
目的：探讨动态心电图诊断老年房颤与临床观察的可行性。方法：回顾性分析了2009年5月到2011年6月来我院心脏内科就诊的老年心房颤动患者88例,将他们分成睡眠有关组和非睡眠有关组,检测1分钟最低心室率和24小时非睡眠和睡眠平均心室率,长RR1.5-2.0s,逸搏和逸搏心率和人均次数。结果：睡眠无关组的1分钟最低心室率和24小时非睡眠和睡眠平均心室率分别为(32.32±23.39),(78.4±34.3),(32.3±11.2)；而睡眠相关组的1分钟最低心室率和24小时非睡眠和睡眠平均心室率分别为(59.3±32.2),(98.2±32.1),(43.3±11.2)。睡眠无关组的1分钟最低心室率和24小时非睡眠和睡眠平均心室率显著性慢于睡眠相关组,差异具有统计学意义(P<0.05)。结论：睡眠无关组的间期＞2s,长RR1.5-2.0s,逸搏和逸搏心率和人均次数均显著性高于睡眠相关组。在睡眠无关组中,有5例出现房室阻滞现象,而在睡眠相关组中则没有出现房室阻滞现象。心房颤动合并长间期RR逸搏及逸搏心律与睡眠相关,是一种非病理性房室阻滞,而与睡眠无关时则为病理性房室阻滞,从而为临床检测提供一定的依据。
目的：探討動態心電圖診斷老年房顫與臨床觀察的可行性。方法：迴顧性分析瞭2009年5月到2011年6月來我院心髒內科就診的老年心房顫動患者88例,將他們分成睡眠有關組和非睡眠有關組,檢測1分鐘最低心室率和24小時非睡眠和睡眠平均心室率,長RR1.5-2.0s,逸搏和逸搏心率和人均次數。結果：睡眠無關組的1分鐘最低心室率和24小時非睡眠和睡眠平均心室率分彆為(32.32±23.39),(78.4±34.3),(32.3±11.2)；而睡眠相關組的1分鐘最低心室率和24小時非睡眠和睡眠平均心室率分彆為(59.3±32.2),(98.2±32.1),(43.3±11.2)。睡眠無關組的1分鐘最低心室率和24小時非睡眠和睡眠平均心室率顯著性慢于睡眠相關組,差異具有統計學意義(P<0.05)。結論：睡眠無關組的間期＞2s,長RR1.5-2.0s,逸搏和逸搏心率和人均次數均顯著性高于睡眠相關組。在睡眠無關組中,有5例齣現房室阻滯現象,而在睡眠相關組中則沒有齣現房室阻滯現象。心房顫動閤併長間期RR逸搏及逸搏心律與睡眠相關,是一種非病理性房室阻滯,而與睡眠無關時則為病理性房室阻滯,從而為臨床檢測提供一定的依據。
목적：탐토동태심전도진단노년방전여림상관찰적가행성。방법：회고성분석료2009년5월도2011년6월래아원심장내과취진적노년심방전동환자88례,장타문분성수면유관조화비수면유관조,검측1분종최저심실솔화24소시비수면화수면평균심실솔,장RR1.5-2.0s,일박화일박심솔화인균차수。결과：수면무관조적1분종최저심실솔화24소시비수면화수면평균심실솔분별위(32.32±23.39),(78.4±34.3),(32.3±11.2)；이수면상관조적1분종최저심실솔화24소시비수면화수면평균심실솔분별위(59.3±32.2),(98.2±32.1),(43.3±11.2)。수면무관조적1분종최저심실솔화24소시비수면화수면평균심실솔현저성만우수면상관조,차이구유통계학의의(P<0.05)。결론：수면무관조적간기＞2s,장RR1.5-2.0s,일박화일박심솔화인균차수균현저성고우수면상관조。재수면무관조중,유5례출현방실조체현상,이재수면상관조중칙몰유출현방실조체현상。심방전동합병장간기RR일박급일박심률여수면상관,시일충비병이성방실조체,이여수면무관시칙위병이성방실조체,종이위림상검측제공일정적의거。
Objective:To explore the feasibility of dynamic ECG diagnosis of elderly atrial fibrillation and clinical observations. Methods:A retrospective analysis of the treatment of elderly patients with atrial fibrillation to our hospital from May 2009 to June 2011 Cardiology 88 cases, they are divided into sleep-related groups and non-sleep-related group, detection of one minute minimum ventricular rate and 24-hour non-sleep and sleep an average ventricular rate, long RR1.5-2.0s, escape and escape heart rate and the per capita number of times.Results:The minimum ventricular rate independent of the sleep group 1 minute and 24-hour non-sleep and sleep an average ventricular rate were (32.32 ± 23.39), (78.4 ± 34.3), (20.1 ± 11.2);sleep 1 minute minimum ventricular rate and 24-hour non-sleep and sleep an average ventricular rate was (59.3 ± 32.2), (98.2 ± 32.1), (43.3 ± 11.2). Independent of the sleep group 1 minute minimum ventricular rate and 24-hour non-sleep and sleep an average ventricular rate significantly slower than the sleep-related group, the difference was statistically significant (P<0.05).Conclusion: sleep-independent group interval> the 2s, RR1.5-2.0s, escape and escape the heart rate and the per capita number of significant higher than that of sleep-related group. Sleep unrelated group, 5 cases of atrioventricular block phenomenon, and the phenomenon does not appear in the sleep-related group atrioventricular block. The combined length of atrial fibrillation between RR escape and escape rhythm and sleep-related, is a non-pathological atrioventricular block, and has nothing to do with sleep, compared with pathological atrioventricular block, and thus provide a basis for the clinical detection .
