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目的:探讨不同年龄阶段的老年人心律失常心电图的临床表现和特点。方法:选取2016年7月到梅江区江南街道江南社区卫生服务中心进行免费心电图筛查的120例老年人,应用同步十二导联常规心电图检查分为A组65~74岁,B组75~84岁,采用回顾性分析,分析不同年龄阶段心律失常的临床表现和特点。结果:B组心律失常检出率高于A组,差异具有统计学意义(P<0.05);A组29例心律失常中,房性早搏占82.7%,室性早搏占34.4%,窦性心动过缓占55.1%,窦性心动过速占20.6%,心房扑动占13.7%,心房颤动占20.6%,房性传导阻滞占13.7%,束支传导阻滞占34.4%;B组45例心律失常中,房性早搏占66.6%,室性早搏占57.7%,窦性心动过缓占51.1%,窦性心动过速占26.6%,心房扑动占11.1%,心房颤动占28.8%,房性传导阻滞占15.5%,束支传导阻滞占33.3%。结论:老年人心律失常的病因复杂,合并症多,心电图检查时要细致全面,结合合并症分析。
Objective: To investigate the clinical manifestations and characteristics of cardiac arrhythmia in the elderly with different ages. Methods: A total of 120 elderly patients who underwent free ECG screening in Jiangnan Community Health Service Center, Jiangnan Street, Meijiang District in July 2016 were divided into group A (65-74 years old), group B ~ 84 years old, using a retrospective analysis of the clinical manifestations and characteristics of arrhythmias in different age groups. Results: The detection rate of arrhythmia in group B was higher than that in group A (P <0.05). Among the 29 patients in group A, 82.7% had atrial premature beat, 34.4% had premature ventricular contractions, and sinus bradycardia 55.1% had bradycardia, sinus tachycardia accounted for 20.6%, atrial flutter accounted for 13.7%, atrial fibrillation accounted for 20.6%, atrial conduction block accounted for 13.7%, bundle branch block accounted for 34.4%; B group 45 cases Arrhythmia, atrial premature beats accounted for 66.6%, premature ventricular contractions accounted for 57.7%, sinus bradycardia accounted for 51.1%, sinus tachycardia accounted for 26.6%, atrial flutter accounted for 11.1%, atrial fibrillation accounted for 28.8%, room Sexual conduction block accounted for 15.5%, bundle branch block accounted for 33.3%. Conclusion: The cause of the arrhythmia in the elderly is complicated. There are many complications. The electrocardiogram should be comprehensively and comprehensively combined with the analysis of the comorbidity.