摘要
目的:探讨妊娠中晚期妇女动态心电图异常情况的特点及临床应用价值。方法:收治妊娠中晚期妇女397例,分析其动态心电图和常规心电图资料。结果:妊娠中晚期妇女心脏电活动的变化中以心律失常和ST-T改变较常见,出现各种心律失常56例(34.03%),其中以窦性心动过速、房性早搏和室性早搏发生率较高,并常合并有心电图ST-T改变。动态心电图更易发现心电图异常变化,其异常检出率42.90%,常规心电图异常检出率32.44%,两者比较差异有统计学意义(P<0.05)。结论:妊娠中晚期孕妇异常心电图发生率较高,动态心电图监测更确切,可早期发现妊娠妇女合并心脏病,以便临床上重点监护,及时治疗,对降低孕妇及胎儿的死亡率均有重要作用,并可作为随访手段。
Objective:To explore the characteristics of unusual circumstances and clinical value of holter for women in mid and late pregnancy.Methods:397 cases of women in mid and late pregnancy were selected.We analyzed the dynamic ECG and ECG data.Results:In changes of cardiac electrical activity of women in mid and late pregnancy,arrhythmia and ST-T changes were more common.56 cases(34.03%) had a variety of arrhythmias.Among them,the incidence of tachycardia,atrial and ventricular premature beats were higher,and they were often associated with ECG ST-T changes.In the dynamic ECG,ECG abnormal changes were more likely to be found,and abnormal detection rate was 42.90%;in the conventional ECG,abnormal detection rate was 32.44%,and the difference was statistically significant.Conclusion:In pregnant women in mid and late pregnancy,the incidence of abnormal ECG is higher.Holter monitoring is more precise.It is capable of early detection of women with heart disease,in order to give emphasis on clinical care and timely treatment.It had an important role to reduce maternal and fetal mortality,and it can be as a follow-up measure.
