中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
2期
91-93
,共3页
心源性晕厥%动态心电图%诊断价值
心源性暈厥%動態心電圖%診斷價值
심원성훈궐%동태심전도%진단개치
Cardiogenic syncope%Dynamic electrocardiogram%Diagnosis value
目的：探讨心源性晕厥患者采用24 h动态心电图诊断的临床价值。方法对118例不明原因晕厥、黑朦患者开展24 h动态心电图监测,记录病发时的心电图状况。结果39例存在晕厥,93例存在心律失常,晕厥组中仅6例不存在心律失常,未晕厥组19例不存在心律失常,两者差异有统计学意义(P<0.05﹚。两组中不同心律失常类型患者的R-R间期比较差异显著(P<0.05﹚。结论针对心源性晕厥患者开展动态心电图监测能够有效诊断具体病因。
目的：探討心源性暈厥患者採用24 h動態心電圖診斷的臨床價值。方法對118例不明原因暈厥、黑朦患者開展24 h動態心電圖鑑測,記錄病髮時的心電圖狀況。結果39例存在暈厥,93例存在心律失常,暈厥組中僅6例不存在心律失常,未暈厥組19例不存在心律失常,兩者差異有統計學意義(P<0.05﹚。兩組中不同心律失常類型患者的R-R間期比較差異顯著(P<0.05﹚。結論針對心源性暈厥患者開展動態心電圖鑑測能夠有效診斷具體病因。
목적：탐토심원성훈궐환자채용24 h동태심전도진단적림상개치。방법대118례불명원인훈궐、흑몽환자개전24 h동태심전도감측,기록병발시적심전도상황。결과39례존재훈궐,93례존재심률실상,훈궐조중부6례불존재심률실상,미훈궐조19례불존재심률실상,량자차이유통계학의의(P<0.05﹚。량조중불동심률실상류형환자적R-R간기비교차이현저(P<0.05﹚。결론침대심원성훈궐환자개전동태심전도감측능구유효진단구체병인。
Objective To investigate the clinical value of the 24 hour dynamic electrocardiogram diagnosis of the car-diogenic syncope patients. Methods To carry out 24 hour Holter monitoring electrocardiogram for the 118 patients with unexplained syncope, amaurosis, and then to record the ECG conditions at the onset of the illness. Results Thirty-nine cases were with syncope, and 93 cases with arrhythmias, only 6 cases without arrhythmias in the syncope group, 19 cases without arrhythmias in the absence of syncope group. The difference was statistically significant (P<0.05). R-R interval between the two different types of arrhythmia of patients had significant difference (P<0.05). Conclusion To carry out Holter monitoring electrocardiogram for patients with cardiogenic syncope can effectively diagnose the specific etiology.
