动态心电图诊查室性期前收缩昼夜变化及其临床意义.docVIP

动态心电图诊查室性期前收缩昼夜变化及其临床意义 　　【摘要】 目的：研究动态心电图诊断室性早搏的昼夜变化以及其临床意义。方法：选取2013年2月-2014年2月笔者所在医院收治的心脏病室性早搏患者50例（A组）和非心脏病室性早搏患者50例（B组），对患者进行24 h动态心电图检测，同时观察患者昼夜两段时间的室早情况，使室早的昼夜变化更加的准确。结果：两组均以间型为多，患者室早的昼夜变化和基础心率无明显的关系。夜间室早的严重程度冠心病者减少和增加相近似，而其他心脏病患者的例数大大的减少，且心脏病患者的减少大多为2～3度，B组患者减少则多为1～2度，占73.7%，病例数明显增多。结论：室早的昼夜变化和交感神经以及副交感神经的张力有关，也和心脏负荷改变、受损程度和心脏病变原因有关。 　　【关键词】 动态心电图； 室性早搏； 昼夜变化； 临床意义 　　中图分类号 R541.7 文献标识码 A 文章编号 1674-6805（2014）29-0003-02 　　Diurnal Changes of Dynamic Electrocardiogram Diagnosis of Systolic Ventricular Premature and Its Clinical Significance/RONG Chun-lan.//Chinese and Foreign Medical Research，2014，12（29）：3-4 　　【Abstract】 Objective： To study the diurnal changes of dynamic electrocardiogram diagnosis of systolic ventricular premature and the clinical significance. Method： Selected 50 patients with ventricular premature heart disease（group A） and 50 patients with non-cardiac ventricular premature beats （group B） in our hospital from February 2013 to February 2014. Evaluated the 24-hour dynamic electrocardiogram of patients， and observed the patients ventricular premature， so that the diurnal variation of ventricular premature would be more accurate. Result： Both of the two groups had more multi-patient. There was no obvious relationship between the patients with ventricular diurnal variation and the foundation of early heart rate. The severity of Nocturnal ventricular premature of the coronary heart disease reduced and increased in a similar frequency， other heart disease patients were greatly reduced， most of the patients with heart disease reduced 2 to 3 degrees， while the patients of group B reduced 1 to 2 degree（73.7%）， the number of cases increased significantly. Conclusion： Premature ventriculardiurnal variation is associated with the tension of sympathetic and also related to the cardiac load change， damage extent， and the cause of heart disease. 　　【Key words】 Dynamic electrocardiogram； Ventricular premature beat； Diurnal variation； Clinical significance 　　F