1401 例社区患者动态心电图事件特点分析.docVIP

稿件详细信息 姓名 倪容华? 单位 北京大学第三医院? 所在科室 第二门诊部? 职称 ? 通讯地址 北京市海淀区西三旗育新花园23号楼-北医三院第二门诊部? Email nirh@kyudai.jp? 邮政编码 100096? 联系电话 文章标题 1401例社区患者动态心电图事件特点分析? 投稿杂志 《中国医药导刊》? 稿件附件 单击下载稿件内容? 投稿时间 2009-06-29 22:37:04? ? ? 投稿通道 直接投稿至杂志编辑部? nirh@kyudai.jp 摘 要：目的：了解社区患者动态心电图(DCG)事件检出情况, 重点分析窦性心动过缓(窦缓)及其并发事件情况，提高心律失常及其它心血管疾病在社区的管理，防止危险性心律失常的发生。方法：对近两年来，本社区患者1401例DCG资料进行回顾性分析，采用SPSS15.0软件管理数据，并用卡方检验等分析结果。结果：本社区患者心电图异常事件检出率达96.9%，且有明显的性别、年龄差异。女性患者房早检出率显著高于男性，但房室传导阻滞、束支阻滞及室速等检出率却以男性显著高于女性；心电图事件检出率随年龄增加而显著增高，检出率居前五位者为房早、室早、房速、ST/T改变及窦缓；窦缓检出率为6.3%,窦缓患者合并房速、各种逸搏及房室传导阻滞等心律失常者较非窦缓患者显著增高，窦缓患者中未发现室性并行心律及室速等患者。结论：本社区人群心电图事件检出率较高，而且复杂多样，窦缓对其它心律失常及心血管疾病有显著影响，需在社区进行有效监控。DCG简单易行，可作为社区医院筛查心律失常及其它心血管疾病的常规检查，以早期发现危险性心律失常，早干预。 关键词 动态心电图（DCG），心电图事件，心律失常，窦性心动过缓(SB) Analysis of DCG Episodes in 1401 Community Cases NI Rong-hua1, HUANG Qin-sheng1, YANG Cui-ping1, NIU Jie2 (1.The Second Clinic of Beijing University, the third hospital, Beijing 100096，China；2. Cardiovascular Department of Beijing University, the third hospital, Beijing 100083，China) Abstract：Obejiective：To investigate the epidemiology of the DCG episodes in Community people, so as to improve the diagnosis and management of arrhythmia and other cardiovascular diseases, and to prevent the risk arrhythmias. Method：We analyzed 1401 patients who came to the clinic for DCG in recent 2 years retrospectively, using Chi-square test for statistic analysis. Results：In the community, the occurrence rate of abnormal episodes is 96.9%，And varies significantly with genders and ages. The occurrences rate of atrial premature beat is significantly higher in women than in men, on the other hand, the occurrence rate of atrial-ventricular block (AVB), branch block and ventricular tachycardia is significantly higher in men than in women. The higher the age, the higher the occurrence rate of the episode is. The occurrences rate of sinus bradycardia(SB) is 6.3%, complimented with significantly higher occurrence of atrial tachycardia, escaped epis