十二导联动态心电图对阵发性心房纤颤的监测价值分析

Analysis of monitoring value of twelvelead holter to paroxysmal atrial fibrillation

目的对十二导联动态心电图对阵发性心房纤颤的监测的临床价值进行评价分析，为今后的临床诊治工作提供可靠的参考依据。方法抽取2011年1月-2013年12月我院收治的临床确诊阵发性房颤患者43例和同期无房颤健康体检者50例，对其行十二导联动态心电图监测，并对两组对象监测结果进行对比分析。结果两组患者的P波最大时限、P波离散度等存在明显差异（P〈0.05），房颤组触发性房早联律间期较对照组发生显著缩短（P〈0.05）。结论十二导联动态心电图是对阵发性房颤的发生进行早期诊断的一种有效手段，值得临床关注并推广。

Objective To study investigated the clinical monitoring value of twelve lead Holter to paroxysmal atrial fibrillation, in order to provide reliable reference for clinical diagnosis in future treatment. Methods A total of 43 cases of clinical diagnosed paroxysmal atrial fibrillation patients who treated in our hospital from January 2011 to December 2013 and 50 cases of healthy people without paroxysmal atrial fibrillation who received physical examination during the same period were selected. They were given twelve lead Holter monitoring, and the monitoring result of the two groups were compared. Results There were obvious differences in P wave maximum and P wave dispersion between the two groups（P 〈0.05）, the triggering atrial premature contraction coupling interval of the paroxysmal atrial fibrillation group was shorter than that of control group（P 〈0.05）. Conclusion Twelve lead Hoher is an effective method of early diagno- sis to paroxysmal atrial fibrillation. It is worthy of clinical attention and promotion.