CAJ | 학술논문

目的：探究分析老年冠心病患者室性心律失常及心率变异的临床特点。方法：选择2010-2013年笔者所在医院收治的50例冠心病患者，设为观察组，另选同期体检检查显示为无冠心病者50例，设为对照组。使用24 h动态心电图对其心率、心率变异及室性心律失常进行检测。结果：观察组患者最低心率高于同龄对照组(P<0.05)；两组最高心率与平均心率比较，差异无统计学意义(P>0.05)；与对照组比较，观察组心率变异性指标均较低，仅SDNN降低有统计学意义(P<0.05)。结论：对老年冠心病患者使用24 h动态心电图检测具有重要的临床意义，需要有所重视，防止出现室性心律失常事件。
목적：탐구분석노년관심병환자실성심률실상급심솔변이적림상특점。방법：선택2010-2013년필자소재의원수치적50례관심병환자，설위관찰조，령선동기체검검사현시위무관심병자50례，설위대조조。사용24 h동태심전도대기심솔、심솔변이급실성심률실상진행검측。결과：관찰조환자최저심솔고우동령대조조(P<0.05)；량조최고심솔여평균심솔비교，차이무통계학의의(P>0.05)；여대조조비교，관찰조심솔변이성지표균교저，부SDNN강저유통계학의의(P<0.05)。결론：대노년관심병환자사용24 h동태심전도검측구유중요적림상의의，수요유소중시，방지출현실성심률실상사건。
Objective:To explore and analyze the clinical features of ventricular arrhythmias in senile coronary heart disease and heart rate variation. Method:A total of 50 patients with coronary heart disease treated in our hospital from 2010 to 2013 were selected as the observation group,and 50 cases didn’t have coronary heart disease shown by the physical examination in the same period were selected as the control group.The heart rate,heart rate variability and ventricular arrhythmias of patients were observed by 24 hour holter detection.Result:The lowest heart rate in the observation group was higher than that in the control group(P<0.05),and the maximum heart rate and the average heart rate in two groups were compared,and the differences were not statistically significant(P>0.05).Compared with the control group,The heart rate variability of the observation group was lower,only SDNN reduced had significantly(P<0.05). Conclusion:It has important clinical significance that 24 hour holter test should be used in patients with senile coronary heart disease,and it needs some attention to prevent ventricular arrhythmia events.