心悸患者的分析、预防与保健.DOCVIP

临床医学论文-心悸患者的分析、预防与保健 ????????????????????????????? 作者：邹有丽，张彬，韩宁，张靓??? 【摘要】? 目的 通过动态心电图对心悸患者的监测，分析其发病原因，以制订相应治疗与预防保健措施。方法 选取符合条件的患者103例，采用DMS Holtwin 7.0动态心电图对其进行监测，并将闪光卡回放分析。结果 在103例患者中共检出心律失常82例，占总人数的78%（82/103）。心悸发作时记录到的心律失常43例，占被检人数的42%（43/103）。心律失常类型与心悸症状之间有明显关系。心悸发作时，男性与女性心律失常的检出率差别不大（32/82，11/21，χ2=2.22，P0.05）。结论 通过对心悸与心律失常关系的分析，帮助临床制订正确的治疗方案。同时为无心律失常的患者扫除心理障碍，避免心源性疾病产生。心悸的预防、保健和治疗应积极进行。社会也应对心悸现象给予足够重视，并在这方面进一步深入研究。 【关键词】? 心悸；预防；保健 ??? ［Abstract］? Objective? To analyse cause of disease of patient with heart-throb and set down corresponding step of treat,prevention and health protection through measure of holter on patient with heart-throb.Methods? We chose 103 patients who accorded with our qualification,backed up the recorded tape to analyse,the holter apparatus was DMS Holtwin 7.0.Results? 82 patients appeared arrhtythmia in 103 patients,it was 78% of total（82/103）.43 patients that holter recorded arrhythmia when heart-thorb was outbreaking were recorded,it was 42% of total（43/103）.There was obvious relationship between type of arrhythmia and symptom of heart-throb.Man and woman had not obvious difference in check rate of arrhythmia（32/82,11/21,χ2=2.22,P0.05）.Conclusion? It can help doctor work out correct therapy through we analyse the relationship between heart-thorb and arrhythmia.Patient’s mental obstacle can be cleaned off at the same time，their disease from psychology can be avoided.Prevention,health protection and cure of patient with heart-throb must go along actively.Society should give enough reconstruction on phenomena of heart-thorb,lucubration should go along with this aspect. ??? ［Key words］? heart-thort;prevention；health protection ??? 心悸可由多种原因引起，患者主诉为心跳伴心前区不适等症状［1］。心悸多由心脏疾病所致心率失常引起，但亦有部分无器质性心脏病患者心悸并非由心脏疾病引起。因此，我们利用动态心电图仪，对103例主述心悸患者做了24 h心电图监测，对其心悸原因进行检查，现报告如下。 ??? 1? 资料与方法 ??? 1.1? 一般资料? 103例患者既往均无心脏病史,其中男82例，年龄34～56岁（平均45.5 岁）；女21例，年龄27～53岁（平均40.7岁）。所选择的病例都是在门诊或住院期间曾有过心悸症状发作的患者，除外近期使用麻黄素、肾上腺素、阿托品类药物引起的心动过速者。 ??? 1.2? 方法? 采用DMS Holtwin 7.0动