十二导联动态心电图对阵发性心房纤颤监测价值分析.docVIP

十二导联动态心电图对阵发性心房纤颤监测价值分析 　　[摘要] 目的 对十二导联动态心电图对阵发性心房纤颤的监测的临床价值进行评价分析，为今后的临床诊治工作提供可靠的参考依据。方法 抽取2011年1月～2013年12月我院收治的临床确诊阵发性房颤患者43例和同期无房颤健康体检者50例，对其行十二导联动态心电图监测，并对两组对象监测结果进行对比分析。结果 两组患者的P波最大时限、P波离散度等存在明显差异（P0.05），房颤组触发性房早联律间期较对照组发生显著缩短（P ＜0.05）。 结论 十二导联动态心电图是对阵发性房颤的发生进行早期诊断的一种有效手段，值得临床关注并推广。 　　[关键词] 十二导联动态心电图； 阵发性心房纤颤； 诊断 　　[中图分类号] R541.75[文献标识码] B[文章编号] 1673-9701（2014）16-0131-03 　　 　　Analysis of monitoring value of twelvelead holter to paroxysmal atrial fibrillation 　　ZHENG Min 　　ECG Room, People’s Hospital of Lianzhou City in Guangdong Province, Lianzhou513400, China 　　[Abstract] Objective To study investigated the clinical monitoring value of twelve lead Holter to paroxysmal atrial fibrillation, in order to provide reliable reference for clinical diagnosis in future treatment. Methods A total of 43 cases of clinical diagnosed paroxysmal atrial fibrillation patients who treated in our hospital from January 2011 to December 2013 and 50 cases of healthy people without paroxysmal atrial fibrillation who received physical examination during the same period were selected. They were given twelve lead Holter monitoring, and the monitoring result of the two groups were compared. Results There were obvious differences in P wave maximum and P wave dispersion between the two groups（P ＜0.05）, the triggering atrial premature contraction coupling interval of the paroxysmal atrial fibrillation group was shorter than that of control group（P ＜0.05）. Conclusion Twelve lead Holter is an effective method of early diagnosis to paroxysmal atrial fibrillation. It is worthy of clinical attention and promotion. 　　[Key words] Twelve leadholter；Paroxysmal atrial fibrillation；Diagnosis临床上阵发性心房纤颤为一种比较常见的心律失常，除器质性心脏病患者外正常人中也可见。研究发现[1]，阵发性心房纤颤若是没有得到良好的早期干预很容易发展成持续性心房纤颤，甚至会发展成永久心房纤颤，因此阵发性心房纤颤的早期诊断和干预对于改善患者预后具有重要意义。近几年十二导联心电图在临床应用逐渐广泛，临床价值受到了广大医学工作者和患者的肯定[2]。本研究中出于对十二导联动态心电图对阵发性心房纤颤的监测的临床价值进行评价分析的目的，对我院收治的临床确诊阵发性心房纤颤和健康体检者进行了十二导联动态心电图监测，并对监测结果进行了对比分析，现报道如下。 　　 　　1 资料与方法 　　1.1 一般资料 　　资料来