心脏远程监护系统对心律失常诊断价值和临床意义.docVIP

心脏远程监护系统对心律失常诊断价值和临床意义 　　[摘要] 目的 探讨心脏远程监护系统诊断心律失常的临床价值。 方法 选择2010年10月～2013年7月间我院收治的410例心律失常患者作为研究对象，所有患者均先后接受常规12导联心电图、心脏远程监护系统检查，现对比分析两种检查方法诊断心律失常的阳性率。 结果 第1天、第2天、第3天，心脏远程监护系统诊断窦性心律失常、房性心律失常、房室交界区性心律失常、室性心律失常、心脏传导阻滞的阳性率均逐步升高，同一疾病各天之间的阳性率相比差异均有统计学意义（P0.05）。心脏远程监护系统在第1天诊断上述类型心律失常的阳性率均显著高于常规12导联心电图，两种方法相比差异均有统计学意义（P0.05）。 结论 心脏远程监护系统诊断心律失常的敏感性高于常规12导联心电图，可以降低心律失常的漏诊率，对降低心律失常的漏诊率有重要的临床价值，值得临床推广应用。 　　[关键词] 心脏远程监护系统；常规12导联心电图；心律失常 　　[中图分类号] R544.1 [文献标识码] B [文章编号] 1673-9701（2015）15-0093-03 　　[Abstract] Objective To explore the clinical effects of cardiac remote monitoring system in diagnosing arrhythmia. Methods All 410 patients with arrhythmia who were admitted and treated in our hospital from October 2010 to July 2013 were selected as research subjects. All patients were examined by routine 12 leads ECG， followed by cardiac remote monitoring system. Positive rates of the two examinations in the diagnosis of arrhythmia were compared and analyzed. Results In 1d， 2d and 3d， positive rates of cardiac remote monitoring system in the diagnosis of sinus arrhythmia， atrial arrhythmia， atrioventricular junction arrhythmia， ventricular arrhythmia and heart block gradually increased， and the differences of positive rates of the same disease in different days were statistically significant （P0.05）. Positive rates of cardiac remote monitoring system in the diagnosis of the above diseases in 1d were all significantly higher than those of routine 12 leads ECG， and the differences compared between the two methods were statistically significant （P0.05）. Conclusion Sensitivity of cardiac remote monitoring system in the diagnosis of arrhythmia is higher than that of routine 12 leads ECG. The system is able to reduce the rate of missed diagnosis of arrhythmia and is of great clinical value in reducing the rate of missed diagnosis of arrhythmia， which is worthy of clinical promotion and application. 　　[Key words] Cardiac remote monitoring system； Routine 12 leads ECG； Arrhythmia 　　心