心电图与动态心电图诊断小儿心律失常的临床对比研究

Clinical comparative study of electrocardiogram and dynamic electrocardiogram in diagnosis of pediatric arrhythmia

目的对比研究常规心电图与动态心电图诊断小儿心律失常的临床应用价值。方法回顾性分析2017年1月～2017年12月本院收治的100例心律失常患儿作为研究对象,所有患儿同时接受常规心电图与动态心电图检查,分析检查结果,对比两种检查方法对小儿各种心律失常检出情况。结果在心律失常检出率方面,常规心电图和动态心电图分别为53.00%(53/100)、71.00%(71/100),动态心动图心律失常检出率显著高于常规心电图,差异有统计学意义(P<0.05)。两种检查方法在窦性心律不齐和传导阻滞型心律失常的检出律率方面比较差异无统计学意义,而动态心电图在小儿室上性心动过速及室性期前收缩的检出率方面显著高于常规心电图,差异有统计学意义(P<0.05)。结论动态心电图对小儿在心律失常的检出及分型诊断方面优于常规心电图,临床应用价值更高。

Objective To observe the clinical application value of conventional electrocardiogram and dynamic electrocardiogram in the diagnosis of pediatric arrhythmia. Methods The clinical data of children with arrhythmia admitted to our hospital from January 2017 to December 2017 were retrospectively analyzed. 100 children who underwent conventional electrocardiogram and dynamic electrocardiogram were included in the study. Analyze the results of the examination, calculate and compare the differences between the two examination methods for the detection of various arrhythmia in children. Results The rate of arrhythmia arrhythmia （71.00%） was significantly higher than that of conventional electrocardiogram （53.00%）, and the difference was statistically significant （P〈0.05）. There were no significant differences between the two methods in the detection rate of sinus arrhythmia and conduction block arrhythmia. The dynamic electrocardiogram was significantly higher than the conventional electrocardiogram in the detection rate of supraventricular tachycardia and ventricular premature contraction （P〈0.05）. Conclusion Dynamic electrocardiogram is superior to conventional electrocardiogram in the detection and classification ofarrhythmia in children, and its clinical application value is higher.