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目的:研究动态心电图检查对于老年人病态窦房结综合征(sick sinus syndrome,SSS)诊断的价值。方法:于2016年3月~2017年3月,选取xxx医院就诊的老年人病态窦房结综合征患者35例为观察组,对照组再选择心电图正常的老年人35例,比较两组患者动态心电图心率动态、心律失常发生率、动态心电图分型、类型。结果:观察组患者的24h总心率和24h平均心率均低于对照组,且测得的最高心率和最低心率均低于对照组;观察组患者检测的心律失常发生率显著高于对照组(χ2=22.46);观察组患者与对照组患者出现单纯房性、室性期前收缩以及房室传导阻滞的心律失常比例无明显差别,但观察组患者出现窦性停搏、窦房阻滞的比例显著高于对照组。结论:病态窦房结综合征老年患者检出心律失常发生率显著高于正常老年人。动态心电图检测具有简便快捷、无创、可重复性高的优势,可以作为老年患者病态窦房结综合征诊断的优先选择,值得在临床上推广。
Objective: To study the value of dynamic electrocardiogram in the diagnosis of sick sinus syndrome (SSS) in the elderly. Methods: From March 2016 to March 2017, 35 elderly patients with senile sinoatrial node syndrome treated in xxx hospital were selected as the observation group. The control group was given 35 elderly patients with normal electrocardiogram. The dynamic changes of the two groups were compared ECG heart rate dynamics, the incidence of arrhythmia, dynamic ECG classification, type. Results: The total heart rate and 24h mean heart rate in observation group were lower than those in control group, and the highest and lowest heart rate were lower than those in control group. The incidence of arrhythmia in observation group was significantly higher than that of control group (χ2 = 22.46). There was no significant difference in the percentage of arrhythmia between observation group and control group in patients with simple atrial and ventricular premature rupture and atrioventricular block. However, in the observation group, sinus arrest and sinoatrial block The proportion was significantly higher than the control group. Conclusion: The incidence of arrhythmia in elderly patients with sick sinus syndrome is significantly higher than that in normal elderly. Holter detection has the advantages of simple, quick, noninvasive and reproducible, which can be used as a preferential choice for the diagnosis of sick sinus syndrome in elderly patients. It is worth clinical promotion.