慢性阻塞性肺疾病患者12导联同步动态心电图的改变

发布时间：2018-04-25 10:10

本文选题：慢性阻塞性肺疾病 + 动态心电图　；参考：《广东医学》2014年03期

【摘要】：目的研究慢性阻塞性肺疾病患者12导联同步动态心电图的表现及其意义。方法回顾性研究无合并症的慢性阻塞性肺疾病患者动态心电图44例,并选择同年龄段同性别比,无明显症状体征及病史的门诊就诊患者为对照组,进行组内、组间对比。结果病例组严重心律失常发生率与对照组对比差异有统计学意义,室上性心律失常与室性心律失常对比发生率差异有统计学意义,按性别分层分析心律失常及ST-T改变发生率之间差异无统计学意义。结论无合并症的慢性阻塞性肺疾病患者严重心律失常发生率较高,室上性心律失常的发生率较室性心律失常高;致使发病的危险因素、性别差异并非心律失常发生的主要影响因素。及时行12导联动态心电图检查可对心律失常早发现、早处理,对改善患者预后有重要意义。
[Abstract]:Objective to study the features and significance of 12-lead synchronous dynamic electrocardiogram (ECG) in patients with chronic obstructive pulmonary disease (COPD). Methods A retrospective study of 44 patients with chronic obstructive pulmonary disease (COPD) without complication was made. The outpatients with the same age and sex ratio, no obvious symptoms and signs and no history were selected as the control group. Results the incidence of severe arrhythmia in the case group was significantly higher than that in the control group, while the incidence of supraventricular arrhythmia and ventricular arrhythmia was significantly different. There was no significant difference in the incidence of arrhythmia and ST-T changes by sex stratification. Conclusion the incidence of severe arrhythmias and supraventricular arrhythmias in patients with chronic obstructive pulmonary disease without complication is higher than that in patients with ventricular arrhythmia. Sex difference is not the main factor of arrhythmia. The 12-lead ambulatory electrocardiogram can detect and treat arrhythmia early and improve the prognosis of the patients.
【作者单位】：广东医学院附属医院心电图室;
【分类号】：R563.9

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