自助心电监测高血压患者体外反搏康复治疗效果

Application of automatic ECG monitoring on external counterpulsation rehabilitation therapy

目的自助心电监测高血压患者体外反搏康复治疗效果。方法对103例高血压患者在体外反搏康复治疗开始、1周和3周时进行自助心电监测,分析记录心电图并比较体外反搏疗效。结果患者在体外反搏治疗期间共记录心电图2 469条。治疗开始、1周和3周时比较,有效记录图形分别占实际记录图形的95.1%、96.3%和98.0%(P<0.01),呈递增趋势;心率下降率也递增,分别为41.7%、62.1%和77.7%(P<0.001);心律失常患者比例分别为33.0%、25.2%和18.4%(P=0.056),呈递减趋势。结论自助心电监测可以有效观察高血压患者在体外反搏康复治疗过程中的心率变化,并且能够记录心律失常。随体外反搏康复治疗时间延长,自助记录心电图有效率逐渐提高,心率逐步下降,心律失常的发生也有减少趋势。

Objective To evaluate the effect of external counterpulsation rehabilitation therapy on patients with hypertension by automatic ECG monitoring.Methods Automatic ECG monitoring was carried out on 103 patients with hypertension,respectively at the beginning of external counterpulsation rehabilitation therapy,one week and three weeks after the treatment.The recorded ECGs were analyzed and the curative effect of external counterpulsation was compared.Results During the external counterpulsation rehabilitation therapy,2 469 strips of ECGs were recorded.At the beginning of the therapy,one week and three weeks afterwards,the effective records accounted separately for 95.1%,96.3% and 98.0%（ P〈0.01） of all the actually recorded ones,with an increasing trend; the heart rate declined at a rate of 41.7%,62.1% and 77.7%（ P〈0.001） respectively,also with an increasing trend; the proportion of arrhythmia patients was 33.0%,25.2%and 18.4%（ P = 0.056）,with a decreasing tendency.Conclusion Automatic ECG monitoring can observe the changes of heart rate of hypertension patients effectively and record arrhythmias during the treatment of external counterpulsation rehabilitation therapy.With prolongation of treatment time,the effective percentage of automatically recorded ECGs increases progressively,heart rate decreases gradually,and the incidence of arrhythmia shows a decreasing trend.