CAJ | 학술논문

目的使用动态心电图(DCG)了解老年患者心律失常、心肌缺血发生的特点，探讨动态心电的临床应用价值。方法选择2010年5月～2012年09月我院老年科住院病人193例行24小时动态心电图及普通心电图检查，将其结果进行统计归纳，并结合文献对比分析。结果心律失常以房性多见，临床检出率为64.35%；同时可监测到症状隐匿的高危心律失常；老年无症状心肌缺血（SMI）发生率高；动态心电图诊断心肌缺血明显高于常规心电图(P<0.01)。结论老年多发病患者无症状心肌缺血、各种心律失常发生率高，应及时予以DCG检查，对高危心律失常及无症状心肌缺血的诊治具有重要意义。
목적사용동태심전도(DCG)료해노년환자심률실상、심기결혈발생적특점，탐토동태심전적림상응용개치。방법선택2010년5월～2012년09월아원노년과주원병인193례행24소시동태심전도급보통심전도검사，장기결과진행통계귀납，병결합문헌대비분석。결과심률실상이방성다견，림상검출솔위64.35%；동시가감측도증상은닉적고위심률실상；노년무증상심기결혈（SMI）발생솔고；동태심전도진단심기결혈명현고우상규심전도(P<0.01)。결론노년다발병환자무증상심기결혈、각충심률실상발생솔고，응급시여이DCG검사，대고위심률실상급무증상심기결혈적진치구유중요의의。
Objective To investigate the characteristics of arrhythmia and myocardial ischemia in geriatric patients by dynamic electrocardiogram(DCG), and discussion the clinical value of DCG. Methods 193 cases with a 24-hour DCG and routine ECG were selected from the inpatients of geriatrics department of our hospital through may 2010 to September 2012. The results were statistical analysed and compared with the previous literature. Results The atrial arrhythmia was more common and the clinical detection rate was 64.35%. Can detect high-risk cardiac arrhythmias of indistinct clinical symptom simultaneously, High incidence of silent myocardial ischemia (SMI) occur in geriatric patients.DCG diagnosis of myocardial ischemia was significantly higher than routine ECG (P<0.01). Conclusion It is high incidence of SMI) and various arrhythmia occur in geriatric patients, so the early DCG check is of great significance for diagnosis and treatment of cardiac arrhythmias and SMI.