摘要
目的:探讨危重患者动态心电图(DCG)监测的临床意义。方法:选择我院2007年8月至2009年10月危重症患者206例,其中冠状动脉粥样硬化性心脏病(冠心病)65例,急性心肌缺血(SIM)38例,高血压病25例,晚期肺癌31例,呼吸衰竭25例,脑血管意外22例。入院后先行常规心电图(ECG)检查,然后进行24h DCG监测,同时对日常活动、情绪变化及所出现的症状进行记录。结果:DCG检测心律失常的总检出率高达99.5%,而ECG为51.3%,两者比较差异有统计学意义(P<0.05)。ECG和DCG心肌缺血检出率分别为54.9%和44.2%,两者比较差异有统计学意义(P<0.05)。结论:DCG可提高心律失常、心肌缺血,特别是恶性心律失常和SM I的检出率,而且易于为患者接受,值得临床推广。
Objective： To disscuss the clinical significance of dynamic electrocardiogram（DCG） monitorring in critically patients.Method： We choosen 206 cases of critically patients in our hospital from August 2007 to October 2009,including 65 cases coronary heart disease（CHD）,acute myocardial ischemia（SIM） 38 cases,hypertension 25 cases,advanced lung cancer 31 cases,respiratory failure 25 cases,cerebral vascular accident 22 cases.First routine electrocardiogram（ECG） examination were done after incharge,and then did DCG monitoring for 24 hours,meanwhile,recorded the daily activities,mood changes and the symptoms.Result： DCG total detection rate of arrhythmia detection was up to 99.5%,but the ECG was 51.3%,there’s significant difference between them（P 〈0.05）.The detection rate of myocardial ischemia in ECG and DCG were 54.9% and 44.2%,the difference was statistically significant（P 〈0.05）.Conclusion： DCG can improve the detection rate of cardiac arrhythmia,myocardial ischemia,especially in malignant ventricular arrhythmia and SMI,It is worthy of clinical applying.
出处
《河北医学》
CAS
2011年第3期358-360,共3页
Hebei Medicine
