中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
29期
3-4
,共2页
动态心电图%室性早搏%昼夜变化%临床意义
動態心電圖%室性早搏%晝夜變化%臨床意義
동태심전도%실성조박%주야변화%림상의의
Dynamic electrocardiogram%Ventricular premature beat%Diurnal variation%Clinical significance
目的：研究动态心电图诊断室性早搏的昼夜变化以及其临床意义。方法：选取2013年2月-2014年2月笔者所在医院收治的心脏病室性早搏患者50例(A组)和非心脏病室性早搏患者50例(B组)，对患者进行24 h动态心电图检测，同时观察患者昼夜两段时间的室早情况，使室早的昼夜变化更加的准确。结果：两组均以间型为多，患者室早的昼夜变化和基础心率无明显的关系。夜间室早的严重程度冠心病者减少和增加相近似，而其他心脏病患者的例数大大的减少，且心脏病患者的减少大多为2~3度，B组患者减少则多为1~2度，占73.7%，病例数明显增多。结论：室早的昼夜变化和交感神经以及副交感神经的张力有关，也和心脏负荷改变、受损程度和心脏病变原因有关。
目的：研究動態心電圖診斷室性早搏的晝夜變化以及其臨床意義。方法：選取2013年2月-2014年2月筆者所在醫院收治的心髒病室性早搏患者50例(A組)和非心髒病室性早搏患者50例(B組)，對患者進行24 h動態心電圖檢測，同時觀察患者晝夜兩段時間的室早情況，使室早的晝夜變化更加的準確。結果：兩組均以間型為多，患者室早的晝夜變化和基礎心率無明顯的關繫。夜間室早的嚴重程度冠心病者減少和增加相近似，而其他心髒病患者的例數大大的減少，且心髒病患者的減少大多為2~3度，B組患者減少則多為1~2度，佔73.7%，病例數明顯增多。結論：室早的晝夜變化和交感神經以及副交感神經的張力有關，也和心髒負荷改變、受損程度和心髒病變原因有關。
목적：연구동태심전도진단실성조박적주야변화이급기림상의의。방법：선취2013년2월-2014년2월필자소재의원수치적심장병실성조박환자50례(A조)화비심장병실성조박환자50례(B조)，대환자진행24 h동태심전도검측，동시관찰환자주야량단시간적실조정황，사실조적주야변화경가적준학。결과：량조균이간형위다，환자실조적주야변화화기출심솔무명현적관계。야간실조적엄중정도관심병자감소화증가상근사，이기타심장병환자적례수대대적감소，차심장병환자적감소대다위2~3도，B조환자감소칙다위1~2도，점73.7%，병례수명현증다。결론：실조적주야변화화교감신경이급부교감신경적장력유관，야화심장부하개변、수손정도화심장병변원인유관。
Objective:To study the diurnal changes of dynamic electrocardiogram diagnosis of systolic ventricular premature and the clinical significance. Method:Selected 50 patients with ventricular premature heart disease(group A) and 50 patients with non-cardiac ventricular premature beats (group B) in our hospital from February 2013 to February 2014. Evaluated the 24-hour dynamic electrocardiogram of patients,and observed the patients ventricular premature,so that the diurnal variation of ventricular premature would be more accurate. Result:Both of the two groups had more multi-patient. There was no obvious relationship between the patients with ventricular diurnal variation and the foundation of early heart rate. The severity of Nocturnal ventricular premature of the coronary heart disease reduced and increased in a similar frequency,other heart disease patients were greatly reduced,most of the patients with heart disease reduced 2 to 3 degrees,while the patients of group B reduced 1 to 2 degree(73.7%),the number of cases increased significantly. Conclusion:Premature ventriculardiurnal variation is associated with the tension of sympathetic and also related to the cardiac load change,damage extent,and the cause of heart disease.
