CAJ | 학술논문

目的：了解养老机构老年人的心电图信息，为老年病防治提供参考依据。方法采用12导联 CTM 8000远程心电监护仪，收集上海4家养老机构60岁以上老年人在2014年4月1日至10月31日这7个月间的1992例次12导联心电图资料。结果1992例次心电图中，正常和大致正常心电图为376例次（18．9％）；异常心电图1616例次（81．1％），明显高于一般国内外远程心电监护异常心电图发现率。异常心电图主要包括：心房颤动185例次（9．3％）、房性早搏179例次（9．0％）、室性早搏117例次（5．8％）以及包括急性心肌梗死在内的其他异常心电图共1135例次（57．0％）。在其他异常心电图中，发现急性 ST 段抬高型缺血性改变者12例次。监测结果还提示心房颤动是养老机构老年人中常见的心血管疾病危险因素。结论远程12导联心电监护系统能够及时捕捉养老机构老年人的心电异常信息，尤其是在心房颤动、急性缺血性病变防治以及危重病例远程处理等方面具有极大的优势，能使患者得到早期诊断和及时治疗。
목적：료해양로궤구노년인적심전도신식，위노년병방치제공삼고의거。방법채용12도련 CTM 8000원정심전감호의，수집상해4가양로궤구60세이상노년인재2014년4월1일지10월31일저7개월간적1992례차12도련심전도자료。결과1992례차심전도중，정상화대치정상심전도위376례차（18．9％）；이상심전도1616례차（81．1％），명현고우일반국내외원정심전감호이상심전도발현솔。이상심전도주요포괄：심방전동185례차（9．3％）、방성조박179례차（9．0％）、실성조박117례차（5．8％）이급포괄급성심기경사재내적기타이상심전도공1135례차（57．0％）。재기타이상심전도중，발현급성 ST 단태고형결혈성개변자12례차。감측결과환제시심방전동시양로궤구노년인중상견적심혈관질병위험인소。결론원정12도련심전감호계통능구급시포착양로궤구노년인적심전이상신식，우기시재심방전동、급성결혈성병변방치이급위중병례원정처리등방면구유겁대적우세，능사환자득도조기진단화급시치료。
Objective To know the electrocardiogram(ECG)information of elderly residents in aged welfare organizations,in order to provide a reference for preventing and treating geriatric diseases. Methods By 12 lead CTM8000 ECG telemonitor,1 992 cases of ECG data were collected from the eld-erly residents over 60 years old in four aged welfare organizations of Shanghai,during seven months from April 1 to October 31 in 2014.Results Among 1 992 cases of ECGs,there were 376(18.9%)normal or basically normal cases while abnormalities were found in 1 616 ECGs,accounting for 81.1%,significant-ly higher than the general abnormality detection rate in ECG telemonitoring both at home and abroad. Abnormal ECGs mainly included 185 cases(9.3%)of atrial fibrillation,179 cases(9.0%)of atrial pre-mature beats,117 cases (5.8%)of ventricular premature beats,and 1 135 other abnormal ECGs (including acute myocardial infarction),accounting for 57.0%.Among other abnormal ECGs,ischemic changes with ST segment elevation were found in 12 cases.Additionally,the monitoring results indicated atrial fibrillation was a common risk factor of cardiovascular diseases for elderly residents in aged welfare organizations.Conclusion Twelve lead ECG telemonitoring system can capture abnormal ECG informa-tion of elderly residents in aged welfare organizations in time,especially performs well in the prevention and treatment of atrial fibrillation or acute ischemic diseases,and remote disposal of severe cases,etc. Its great advantages help patients with early diagnosis and timely therapy.