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目的:研究24 h动态心电图对冠心病心律失常的临床监测价值。方法:对2014年7月至2015年7月在我院确诊的315例冠心病患者先后实施常规心电图及24 h动态心电图检测。对比两种检测方法对对冠心病的阳性检出结果,并调查患者对不同检测方式的评价情况。结果:24 h动态心电图的冠心病阳性检出率为81.90%,与常规心电图的76.51%相比,差异无统计学意义(P>0.05)。24 h动态心电图室性二、三联律,室性早搏成对,房性早搏早发,房性早搏二、三联律,房性早搏成对,以及短阵室上速的检出率均较常规心电图明显更高,差异均有统计学意义(均P<0.05)。患者对24 h动态心电图的准确性认可度高于常规心电图,差异有统计学意义(P<0.05)。结论:24 h动态心电图对冠心病心律失常患者的监测价值较好,能够更加准确地呈现患者的心功能状态,值得推广。
Objective: To investigate the clinical value of 24 h ambulatory electrocardiogram (ECG) on arrhythmia of coronary heart disease. Methods: 315 patients with CHD diagnosed in our hospital from July 2014 to July 2015 were followed up by routine ECG and 24-hour Holter monitoring. Compare the two detection methods for the positive detection of coronary heart disease, and investigate the evaluation of patients with different detection methods. Results: The positive rate of coronary heart disease was 81.90% at 24 hours, which was not significantly different from 76.51% of the conventional electrocardiogram (P> 0.05). 24 h Holter ventricular two, triple the law, premature ventricular contractions, premature atrial premature beats, premature atrial premature beats, triple the law, atrial premature beats, and the detection rate of paroxysmal supraventricular tachycardia than conventional ECG was significantly higher, the difference was statistically significant (P <0.05). Patients with 24 h Holter accuracy of recognition is higher than conventional ECG, the difference was statistically significant (P <0.05). Conclusion: 24 h Holter monitoring of patients with coronary heart disease is better, which can show the cardiac function of patients more accurately and is worth promoting.