CAJ | 학술논문

目的：利用动态心电图对房性早搏所引发的阵发性心房颤动症状进行分析。方法收集我院自2013年3—12月期间收治的频发房性早搏患者共计413例作为研究对象，对所有患者的临床资料进行回顾分析。413例患者均接受动态心电图检查。对频发房性早搏患者中经由动态心电图检出阵发性心房颤动的构成比进行分析，同时观察有（无）阵发性心房颤动患者在动态心电图监测指标上的具体表现。结果动态心电图监测结果显示：在413例存在频发房性早搏症状的患者中，共65例患者动态心电图监测下出现阵发性心房颤动症状，构成比为15．73％。有阵发性心房颤动患者联律间期明显低于无阵发性心房颤动患者，房早前周期明显长于无阵发性心房颤动患者，组间数据对比差异显著，P＜0．05，具有统计学意义。结论动态心电图监测能够有效提示由房性早搏所引起阵发性心房颤动的基本特征，在联律间期以及房早前周期上有明显表现，值得临床重视。
목적：이용동태심전도대방성조박소인발적진발성심방전동증상진행분석。방법수집아원자2013년3—12월기간수치적빈발방성조박환자공계413례작위연구대상，대소유환자적림상자료진행회고분석。413례환자균접수동태심전도검사。대빈발방성조박환자중경유동태심전도검출진발성심방전동적구성비진행분석，동시관찰유（무）진발성심방전동환자재동태심전도감측지표상적구체표현。결과동태심전도감측결과현시：재413례존재빈발방성조박증상적환자중，공65례환자동태심전도감측하출현진발성심방전동증상，구성비위15．73％。유진발성심방전동환자련률간기명현저우무진발성심방전동환자，방조전주기명현장우무진발성심방전동환자，조간수거대비차이현저，P＜0．05，구유통계학의의。결론동태심전도감측능구유효제시유방성조박소인기진발성심방전동적기본특정，재련률간기이급방조전주기상유명현표현，치득림상중시。
Objective To use dynamic electrocardiogram room premature beat of paroxysmal atrial fibrillation symptoms were analyzed.Methods Collected from September 2012 to June 2014 were analyzed the room of a total of 89 cases of patients with premature as the research object, to review the clinical data of all patients.In 89 patients after treatment were examined by dynamic electrocardiogram ( ecg ) .Premature beat patients via dynamic electrocardiogram detection of paroxysmal atrial fibrillation was analyzed, at the same time observation of patients with paroxysmal atrial fibrillation ( af) on the manifestation of dynamic electrocardiogram (ecg) monitoring indicators.Results The dynamic electrocardiogram (ecg) monitoring results showed that: in 89 patients with premature symptoms associated with room, a total of 30 cases under dynamic electrocardiogram (ecg) monitoring in patients with paroxysmal atrial fibrillation symptoms, the proportion of 33.71%.Patients with paroxysmal atrial fibrillation group law of interphase significantly lower than that of patients with paroxysmal atrial fibrillation, room early week long obviously higher than that of patients with paroxysmal atrial fibrillation, data contrast significant difference between groups, P <0.05, with statistical significance.Conclusions Dynamic electrocardiogram ( ecg) monitoring can effectively prompt caused by room sex premature beat the basic characteristics of paroxysmal atrial fibrillation, the union law of the period and the room early week bosses have obvious performance, worthy of clinical attention.