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目的:通过对孕妇24小时动态心电图的分析,探讨妊娠期心律失常的特征及其临床意义。方法:对188例有心慌、胸闷表现的妊娠期妇女进行常规心电图及动态心电图检查,然后对比分析。结果:166例妊娠期妇女心律失常常规心电图检出率为73.40%(138/188),动态心电图检出率为90.43%(170/188),其中妊娠早期心律失常占85.71%(48/56),妊娠中期心律失常占80%(32/40),妊娠晚期心律失常占97.83%(90/92)。结论:24小时动态心电图可提高妊娠期心律失常的阳性检出率;随着孕周增加,心律失常的发生率增加。
Objective: To analyze the 24-hour ambulatory electrocardiogram (ECG) of pregnant women and discuss the characteristics and clinical significance of arrhythmia during pregnancy. Methods: 188 pregnant women with palpitation and chest tightness were examined by routine electrocardiogram and dynamic electrocardiogram, and then analyzed comparatively. Results: The prevalence of arrhythmia in 166 pregnant women was 73.40% (138/188) and 90.43% (170/188) respectively. The rate of arrhythmia in early pregnancy was 85.71% (48/56) , Mid-pregnancy arrhythmia accounted for 80% (32/40), late pregnancy arrhythmia accounted for 97.83% (90/92). Conclusion: 24-hour ambulatory electrocardiogram can improve the positive detection rate of arrhythmia during pregnancy; with the increase of gestational age, the incidence of arrhythmia increases.