摘要
目的：探讨动态心电图监测睡眠呼吸暂停综合征合并心律失常患者的临床应用价值及可行性。方法选择经多导睡眠仪监测确诊为睡眠呼吸暂停综合征患者80例，按照数字表法随机分为两组，每组40例，对照组患者行常规心电图监测，观察组患者行动态心电图监测，比较两组患者的心律失常检出阳性率。结果对照组患者室性期前收缩、房性期前收缩、室性心动过速、短阵室速、短阵房速、Ⅰ度房室传导阻滞、Ⅱ度房室传导阻滞、房早合并窦房阻滞等心律失常分别检出6例、7例、9例、6例、5例、1例、1例、5例，而观察组患者室性期前收缩、房性期前收缩、室性心动过速、短阵室速、短阵房速、Ⅰ度房室传导阻滞、Ⅱ度房室传导阻滞、房早合并窦房阻滞等心律失常分别检出21例、19例、25例、16例、19例、7例、8例、14例，与对照组患者相比，观察组患者心律失常的阳性检出率显著提高（χ2＝19．700、17．000、13．700、21．200、22．600、53．000、50.500、26．100，均P＜0．05）。结论动态心电图可以提高心律失常的阳性检出率，在睡眠呼吸暂停综合征合并心律失常的诊断和治疗中具有重要的临床价值，值得在临床推广应用。
Objective To investigate the clinical application value and feasibility in the dynamic ECG moni-toring in the diagnosis on patients with sleep apnea syndrome complicated with arrhythmia .Methods A total of 80 cases of sleep apnea syndrome confirmed by polysomnography diagnosis were randomly divided into the two groups,40 cases in each group .The patients in the control group were received routine ECG monitoring ,the observa-tion group were underwent dynamic ECG monitoring ,the arrhythmia detection rate in the two groups were compared . Results The ventricular premature beat ,atrial premature beat,ventricular in patients with Beckoning tachycardia , paroxysmal ventricular tachycardia , paroxysmal atrial tachycardia , first degree atrioventricular block , second degree atrioventricular block,premature atrial arrhythmia with sinoatrial block detected in the control group were 6 cases, 7 cases,9 cases,6 cases,5 cases,1 cases,1 cases,5 cases,respectively.However,21 cases,19 cases,25 cases, 16 cases,19 cases,7 cases,8 cases,14 cases were confirmed in the observation group ,the positive detection rate in cardiac arrhythmias in the observation group were significantly higher than that in the control group （χ2 =19.700, 17.000,13.700,21.200,22.600,53.000,50.500,26.100,all P〈0.05）.Conclusion Dynamic electrocardiogram can improve the positive rate of arrhythmia ,and have important clinical value in the diagnosis and treatment of sleep apnea syndrome complicated with cardiac arrhythmias ,which is worthy of clinical application .
出处
《中国基层医药》
CAS
2015年第6期867-870,共4页
Chinese Journal of Primary Medicine and Pharmacy
