窦性心动过缓的老年人行动态心电图检查的必要性分析

Necessity analysis of the dynamic ecg examination for the olders with sinus bradycardia

目的探讨对窦性心动过缓的老年人进行动态心电图检查的必要性,评价其临床应用价值。方法选择2010年6月～2011年12月在本院进行治疗的32例老年窦性心动过缓患者作为疾病组,同期选择30例正常老年人作为对照组,对两组受试者进行动态心电图的检查,并对两组结果进行比较。结果疾病组32例受试者中有6例出现了Ⅱ度窦房阻滞或者窦性停搏,7例出现了Ⅱ度以上的房室传导阻滞,5例出现了逸搏;对照组30例受试者中有2例出现了Ⅱ度窦房阻滞或者窦性停搏,2例出现了Ⅱ度以上的房室传导阻滞,1例出现了逸搏,4例出现了室性期前收缩,疾病组患者出现窦房传导阻滞的发生率高于对照组,两组间差异有统计学意义(P<0.05)。结论对于窦性心动过缓的老年人进行动态心电图检查是十分必要的,其对于窦性心动过缓的老年人的病情具有很好的辅助诊断价值。

Objective To explore the necessity analysis of the dynamic ecg examination for the olders with sinus bradycardia and to evaluate the clinical application value. Methods Thirty-two cases of olders with sinus bradycardia treated in our hospital from June 2010 to December 201l were collected as disease group, 30 cases of heathy olders were chosen as con- trol group in the same period. Patients in the two groups were given the dynamic ecg examination, and the results in two groups were compared. Results Out of 32 cases of subjects in disease group, there were 6 cases found with II degrees antrum room block or sirius cardiac arrest, 7 cases were found with the II degrees above the atrioventricular block, 5 cases were found with cardiac escape beat. Out of 30 cases of subjects in control group, there were 2 cases found with II degrees antrum room block or sinus cardiac arrest, 2 cases were found with the II degrees above the atrioventricular block, 1 case was found with appeared cardiac escape beat, 4 cases were found with premature ventricular beats. The incidence of antrum room block in disease group were higher than that of control group, the differences between the two groups were statistically significant （P 〈 0.05）. Conclusion It is very necessary for olders with with sinus bradycardia to do the dynamic ecg examination, it has the very good auxiliary diagnostic value for the patient＇s condition of olders with sinus bradycardia.