江苏实用心电学杂志
江囌實用心電學雜誌
강소실용심전학잡지
JOURNAL OF PRACTICAL ELECTROCARDIOLOGYJS
2014年
6期
381-384
,共4页
王红宇%崔冬霞%邸捷%刘桂芬
王紅宇%崔鼕霞%邸捷%劉桂芬
왕홍우%최동하%저첩%류계분
心电监测%便携式%体外反搏%心律失常%心率%血压
心電鑑測%便攜式%體外反搏%心律失常%心率%血壓
심전감측%편휴식%체외반박%심률실상%심솔%혈압
remote ECG monitoring%portable%external counterpulsation%arrhythmia%heart rate%blood pressure
目的：观察门诊患者体外反搏康复过程中，对心律失常和心率进行便携式心电监测的价值。方法对比268例高血压患者在接受体外反搏康复治疗前、中、后便携式心电监测和血压监测的结果，并与常规心电图记录进行比较。结果共收到患者在体外反搏治疗前、中、后监测心电图1658条，其中有效图形1576条，占95．1％。便携式心电监测仪监测到心律失常心电图133条，检出率为25．4％（68／268）；常规心电图检查出心律失常33例，检出率为12．3％（33／268），两者比较，差异有统计学意义（P＜0．01）。体外反搏治疗后心率[（68．84±10．79）次／min]比治疗前[（74．04±11．48）次／min]降低，差异有统计学意义（P＜0．001）；收缩压治疗后[（124．99±12．68） mmHg ]比治疗前[（129．67±12．17） mmHg ]降低，差异有统计学意义（P＜0．001）；舒张压治疗后[（72．73±7．19）mmHg]比治疗前[（74．06±8．23）mmHg]降低，差异有统计学意义（P＜0．01）。结论便携式心电监测可以观察门诊患者体外反搏康复治疗过程中心率的变化并记录心律失常，方便且实用。心律失常检出率高于常规心电图检查。
目的：觀察門診患者體外反搏康複過程中，對心律失常和心率進行便攜式心電鑑測的價值。方法對比268例高血壓患者在接受體外反搏康複治療前、中、後便攜式心電鑑測和血壓鑑測的結果，併與常規心電圖記錄進行比較。結果共收到患者在體外反搏治療前、中、後鑑測心電圖1658條，其中有效圖形1576條，佔95．1％。便攜式心電鑑測儀鑑測到心律失常心電圖133條，檢齣率為25．4％（68／268）；常規心電圖檢查齣心律失常33例，檢齣率為12．3％（33／268），兩者比較，差異有統計學意義（P＜0．01）。體外反搏治療後心率[（68．84±10．79）次／min]比治療前[（74．04±11．48）次／min]降低，差異有統計學意義（P＜0．001）；收縮壓治療後[（124．99±12．68） mmHg ]比治療前[（129．67±12．17） mmHg ]降低，差異有統計學意義（P＜0．001）；舒張壓治療後[（72．73±7．19）mmHg]比治療前[（74．06±8．23）mmHg]降低，差異有統計學意義（P＜0．01）。結論便攜式心電鑑測可以觀察門診患者體外反搏康複治療過程中心率的變化併記錄心律失常，方便且實用。心律失常檢齣率高于常規心電圖檢查。
목적：관찰문진환자체외반박강복과정중，대심률실상화심솔진행편휴식심전감측적개치。방법대비268례고혈압환자재접수체외반박강복치료전、중、후편휴식심전감측화혈압감측적결과，병여상규심전도기록진행비교。결과공수도환자재체외반박치료전、중、후감측심전도1658조，기중유효도형1576조，점95．1％。편휴식심전감측의감측도심률실상심전도133조，검출솔위25．4％（68／268）；상규심전도검사출심률실상33례，검출솔위12．3％（33／268），량자비교，차이유통계학의의（P＜0．01）。체외반박치료후심솔[（68．84±10．79）차／min]비치료전[（74．04±11．48）차／min]강저，차이유통계학의의（P＜0．001）；수축압치료후[（124．99±12．68） mmHg ]비치료전[（129．67±12．17） mmHg ]강저，차이유통계학의의（P＜0．001）；서장압치료후[（72．73±7．19）mmHg]비치료전[（74．06±8．23）mmHg]강저，차이유통계학의의（P＜0．01）。결론편휴식심전감측가이관찰문진환자체외반박강복치료과정중심솔적변화병기록심률실상，방편차실용。심률실상검출솔고우상규심전도검사。
Objective To discuss the clinical value of portable remote ECG monitoring for ar-rhythmia and heart rate during outpatients'recovery of external counterpulsation ( ECP) .Methods For the enrolled 268 outpatients , the results of portable ECG monitoring and blood pressure monito-ring were compared before , during and after ECP , and also compared with the results recorded by routine ECG.Results We collected 1 658 strips of ECGs in all monitored before , during and after ECP, including 1 576 valid ones, accounting for 95.1%.Arrhythmia was detected out of 133 strips of ECGs by portable remote ECG monitoring , with a detection rate of 25 .4%( 68/268 ) , while 33 cases with arrhythmia were detected by routine ECG , with a detection rate of 12 .3% ( 33/268 ) . The difference of detection rates in the two methods was statistically significant (P<0.01).After the treatment of ECP, the patients'heart rates[(68.84 ±10.79) beats/min] were slowed down than be-fore[(74.04 ±11.48) beats/min], with statistically significant difference (P<0.001).After the treatment of systolic blood pressure , their heart rates[(124.99 ±12.68) mmHg] were slowed down than before[(129.67 ±12.17) mmHg], with statistically significant difference (P<0.001).After the treatment of diastolic blood pressure , their heart rates [ ( 72 .73 ±7 .19 ) mmHg ] were slowed down than before[(74.06 ±8.23) mmHg], with statistically significant difference (P<0.01). Conclusion The portable remote ECG monitoring can be applied in observing the changes of heart rate and recording electrocardiosignals of arrhythmia .The method proves to be convenient and prac-tical.The detection rate of arrhythmia is higher than that of routine ECG examination .
