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目的分析动态心电图诊断病态窦房结综合征的临床价值。方法选取医院收治的病态窦房结综合征患者87例为观察组,选取同期在医院进行健康体检的60例健康人为对照组,2组均采用动态心电图诊断,对比2组检查结果。结果观察组87例患者中,Ⅰ型25例(28.7%),Ⅱ型22例(25.3%),Ⅲ型16例(18.4%),Ⅳ型24例(27.6%)。观察组最高心率、最低心率、24 h平均心率以及24 h总心率等均显著低于对照组(P<0.01);观察组希氏—浦肯野系统传导异常率、阵发性室上性心动过速率、窦性心动过缓率、房室传导阻滞率、心房颤动率、窦房传导阻滞率、窦性停搏率均高于对照组(P<0.01或P<0.05)。结论动态心电图在病态窦房结综合征患者诊断中具有较高的应用价值,可及时发现患者心率异常现象,可作为临床诊断病态窦房结综合征的首选方法。
Objective To analyze the clinical value of Holter in the diagnosis of sick sinus syndrome. Methods Totally 87 patients with sick sinus syndrome treated in our hospital were selected as the observation group. Sixty healthy subjects who took part in the hospital during the same period were selected as the control group. Both groups were diagnosed by dynamic electrocardiogram and compared with the results of the two groups. Results Among the 87 patients in the observation group, 25 (28.7%) were type Ⅰ, 22 (25.3%) were type Ⅱ, 16 (18.4%) were type Ⅲ and 24 (27.6%) were type Ⅳ. The maximum heart rate, minimum heart rate, 24-hour average heart rate and 24-hour total heart rate in the observation group were significantly lower than those in the control group (P <0.01). The abnormal rate of conduction and paroxysmal supraventricular cardioversion in the observation group, Overspeed rate, sinus bradycardia rate, atrioventricular block rate, atrial fibrillation rate, sinoatrial block rate and sinus arrest rate were higher than those in control group (P <0.01 or P <0.05). Conclusion Holter in patients with sick sinus syndrome diagnosis has a high value, can be found in patients with abnormal heart rate, can be used as clinical diagnosis of sick sinus syndrome preferred method.