中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
17期
55-57
,共3页
12导联动态心电图%阵发性房颤%触发因素%临床分析
12導聯動態心電圖%陣髮性房顫%觸髮因素%臨床分析
12도련동태심전도%진발성방전%촉발인소%림상분석
12-lead holter%Paroxysmal atrial fibrillation%Triggering factor%Clinical analysis
目的：探讨12导联动态心电图监测阵发性房颤及其触发因素的临床应用价值。方法选取2010年1月~2012年12月在本院进行12导联动态心电图检查的患者2000例，采用GE公司生产的MAC1200心电图检测仪进行12导联同步心电图检查，自动监测阵发性房颤，分析其触发因素。结果2000例患者中12导联动态心电图检出阵发性房颤75例，检出率为3.75豫，其中12导联常规心电图检出率为0.60豫，心电监护检出率为0.50豫，均明显低于12导联动态心电图的检出率，差异有统计学意义(P<0.05)。75例阵发性房颤患者有802次发作纳入研究，触发因素中房性期前收缩最多见，有714次，占89.03豫，与其他各因素所占百分率比较，差异有统计学意义(P<0.01)。阵发性房颤在夜间发作频率增加。结论12导联动态心电图可监测并明确诊断阵发性房颤，并明确其触发因素，为临床治疗提供参考依据。
目的：探討12導聯動態心電圖鑑測陣髮性房顫及其觸髮因素的臨床應用價值。方法選取2010年1月~2012年12月在本院進行12導聯動態心電圖檢查的患者2000例，採用GE公司生產的MAC1200心電圖檢測儀進行12導聯同步心電圖檢查，自動鑑測陣髮性房顫，分析其觸髮因素。結果2000例患者中12導聯動態心電圖檢齣陣髮性房顫75例，檢齣率為3.75豫，其中12導聯常規心電圖檢齣率為0.60豫，心電鑑護檢齣率為0.50豫，均明顯低于12導聯動態心電圖的檢齣率，差異有統計學意義(P<0.05)。75例陣髮性房顫患者有802次髮作納入研究，觸髮因素中房性期前收縮最多見，有714次，佔89.03豫，與其他各因素所佔百分率比較，差異有統計學意義(P<0.01)。陣髮性房顫在夜間髮作頻率增加。結論12導聯動態心電圖可鑑測併明確診斷陣髮性房顫，併明確其觸髮因素，為臨床治療提供參攷依據。
목적：탐토12도련동태심전도감측진발성방전급기촉발인소적림상응용개치。방법선취2010년1월~2012년12월재본원진행12도련동태심전도검사적환자2000례，채용GE공사생산적MAC1200심전도검측의진행12도련동보심전도검사，자동감측진발성방전，분석기촉발인소。결과2000례환자중12도련동태심전도검출진발성방전75례，검출솔위3.75예，기중12도련상규심전도검출솔위0.60예，심전감호검출솔위0.50예，균명현저우12도련동태심전도적검출솔，차이유통계학의의(P<0.05)。75례진발성방전환자유802차발작납입연구，촉발인소중방성기전수축최다견，유714차，점89.03예，여기타각인소소점백분솔비교，차이유통계학의의(P<0.01)。진발성방전재야간발작빈솔증가。결론12도련동태심전도가감측병명학진단진발성방전，병명학기촉발인소，위림상치료제공삼고의거。
Objective To investigate the clinical application value of 12-lead holter on monitoring paroxysmal atrial fibrillation and triggering factor. Methods 2000 cases of patients in our hospital from January 2010 to December 2012 were selected and were taken 12-lead holter examination,GE produced MAC1200 ECG detector was used for 12-lead ECG synchronization,paroxysmal atrial fibrillation was monitored,and the triggering factor was analyzed. Results In 2000 patients,75 cases of patients with paroxysmal atrial fibrillation was detected by 12-lead holter,the detection rate was 3.75%,of which 12-lead ECG detection rate was 0.60%,ECG detection rate was 0.50%,which wes significantly low-er than that of the 12-lead holter detection rate,with statistical difference (P<0.05).75 cases of patients with paroxysmal atrial fibrillation had 802 episodes included in the study,the most common triggering factor was atrial contraction(714), accounting for 89.03%,compared with the other factors,with statistical difference (P<0.01).The seizure frequency of paroxysmal atrial fibrillation increased during the night. Conclusion The 12-lead holter can monitor and diagnoze paroxysmal atrial fibrillation,and define its trigger factor,provide reference for clinical treatment.
