老年心脏病患者动态心电图临床剖析.docVIP

老年心脏病患者动态心电图临床剖析 　　[摘要] 目的 探讨老年心脏病患者动态心电图的应用价值。 方法 选取本院2011年10月～2013年10月诊治的老年心脏病患者60例，其中肺源性心脏病缓解期患者20例、高血压性心脏病患者20例、冠心病患者20例，均行动态心电图监测。分析患者的心率与心律失常状况。 结果 老年心脏病患者醒时平均心率、最高心率、最低心率均明显高于睡时；无论是睡时还是醒时，肺源性心脏病缓解期患者的平均心率、最高心率、最低心率均明显高于冠心病和高血压性心脏病患者；冠心病与高血压性心脏病患者醒时心律失常检出率均明显高于睡时，差异有统计学意义（P0.05）。 结论 动态心电图监测是老年心脏病患者的有效诊断方法，值得临床推广应用。 　　[关键词] 老年；心脏病；动态心电图 　　[中图分类号] R540.4+1 [文献标识码] A [文章编号] 1674-4721（2014）09（c）-0033-03 　　Clinical analysis of dynamic ECG in elderly patients with heart disease 　　ZOU Quan-lin 　　The Frist Internal Medicine Department，People′s Hospital of Ruijin City，Ruijin 342500，China 　　[Abstract] Objective To investigate application value of dynamic ECG in elderly patients with heart disease. Methods 60 elderly patients with heart disease were selected in hospital from October 2011 to October 2013.20 patients were pulmonary heart disease remission，20 patients were hypertensive heart disease，20 patients were coronary heart disease.Patients were all treated dynamic ECG monitoring.Heart rate and arrhythmia condition were analyzed. Results Average heart rate，highest heart rate，lowest heart rate of elderly patients with heart disease awake were significantly higher than sleep.Whether awake or sleep，average heart rate，highest heart rate，lowest heart rate of patients with pulmonary heart disease remission were significantly higher than coronary heart disease and hypertensive heart disease.Arrhythmia detection rate of patients with coronary heart disease and hypertensive heart disease awake were significantly higher than sleep，the differences were statistically significant （P0.05）. Conclusion Dynamic ECG monitoring is an effective method in diagnosis of elderly patients with heart disease，which is worthy of clinical use. 　　[Key words] Elderly；Heart disease；Dynamic ECG 　　心脏病是心脏疾病的总称，包括风湿性心脏病、先天性心脏病、高血压性心脏病、冠心病、心肌炎等各种病症。随着饮食结构的改变和人口老龄化的发展，老年人成为心脏病的高发人群[1]，近年来，老年心脏病的发病率持续升高，严重威胁人们的身体健康，影响患者的预后[2-3]。有效的诊断方法是确保患者治疗的关键。本研究选取本院诊治的老年心脏病患者60例，均行动态心电图监测，以探讨动态心电图在老年心脏病患者中的应