冠心病心律失常的动态心电图与常规心电图应用

Application effect of ambulatory versus routine electrocardiography in arrhythmia in coronary heart disease

目的分析冠心病心律失常的动态心电图与常规心电图应用效果。方法研究阶段为2015年5月-2017年5月,共冠心病患者90例,每组45例,将采用动态心电图的作为观察组,采用常规心电图作为对照组,对比两组诊断效果。结果观察组阳性率73.33%明显高于对照组53.33%,差异显著具有统计学意义(P<0.05),两组在室性早搏成对、房性早搏早发、室性二、三联律、房性早搏成对、房性早搏二、三联律、短阵室上速差异显著具有统计学意义(P<0.05),两组在室上性早搏早发、房室传导阻滞差异不显著(P>0.05),观察组接受34例(75.56%),对照组接受42例(93.33%)差异显著(P<0.05)。结论冠心病心律失常的动态心电图诊断价值显著,值得临床推广。

Objective To investigate the application effect of ambulatory versus routine electrocardiography in arrhythmia in coronary heart disease. Methods A total of 90 patients with coronary heart disease who were treated from May 2015 to May 2017 were enrolled and divided into observation group and control group, with 45 patients in each group. The patients in the observation group were given ambulatory electrocardiography, and those in the control group were given routine electrocardiography. The diagnostic effect was compared between the two groups. Results The observation group had a significantly higher positive rate than the control group（73.33% vs 53.33%, P〈0.05）. There were significant differences between the two groups in paired ventricular premature beats, atrial premature beats, ventricular bigeminy and trigeminy, paired atrial premature beats, atrial bigeminy and trigeminy, and paroxysmal supraventricular tachycardia（P〈0.05）, while there were no significant differences in supraventricular premature beats and atrioventricular block between the two groups（P〈0.05）. There was a significant difference between the observation group and the control group in the number of patients who received electrocardiography [34（75.56%） vs 42（93.33%）, P〈0.05].Conclusion Ambulatory electrocardiography has a high value in the diagnosis of arrhythmia in coronary heart disease and thus holds promise for clinical application.