[1]王晓彤.起搏器术后患者常规及动态心电图监测的临床研究[J].医学信息,2018,31(20):163-165.[doi:10.3969/j.issn.1006-1959.2018.20.051]
　WANG Xiao-tong.Clinical Study of Routine and Dynamic Electrocardiogram Monitoring in Patients after Pacemaker Surgery[J].Medical Information,2018,31(20):163-165.[doi:10.3969/j.issn.1006-1959.2018.20.051]
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起搏器术后患者常规及动态心电图监测的临床研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年20期
页码:
163-165
栏目:
诊疗技术
出版日期:
2018-10-15

文章信息/Info

Title:
Clinical Study of Routine and Dynamic Electrocardiogram Monitoring in Patients after Pacemaker Surgery
文章编号:
1006-1959（2018）20-0163-03
作者:
王晓彤
皖南医学院弋矶山医院电生理科，安徽 芜湖 241000
Author(s):
WANG Xiao-tong
Department of Electrophysiology,Yijishan Hospital,Wannan Medical College,Wuhu 241000,Anhui,China
关键词:
起搏器; 动态心电图; 常规心电图
Keywords:
Pacemaker; Dynamic electrocardiogram; Conventional electrocardiogram
分类号:
R654.2
DOI:
10.3969/j.issn.1006-1959.2018.20.051
文献标志码:
A
摘要:
目的 比较常规心电图与动态心电图在起搏器术后监测的效率，探讨分析动态心电图对不同起搏器术后监测的临床价值。方法 选取皖南医学院弋矶山医院心内科2016年5月~2017年12月100例起搏器植入术后患者为研究对象，所有患者均行常规心电图、动态心电图检测，比较常规心电图和动态心电图对起搏器术后功能异常检测效率，并分析动态心电图对不同起搏器感知、起搏功能异常以及起搏相关心律失常情况。结果 对起搏器植入术后患者动态心电图检测搏器功能异常为44例，高于常规心电图检测的16例，差异具有统计学意义（P＜0.05）。DCG对不同类型起搏器感知和起搏功能异常、自身心律失常比较，差异无统计学意义（P＞0.05）。结论 动态心电图对起搏器起搏功能异常的检测效能较12导心电图高，并且可以作为一种无创手段较好的了解不同类型起搏器工作状态，检测起搏功能异常和心律失常情况。
Abstract:
Objective To compare the efficiency of conventional electrocardiogram and dynamic electrocardiogram monitoring after pacemaker,and to analyze the clinical value of dynamic electrocardiogram for postoperative monitoring of different pacemakers. Methods A total of 100 patients with pacemaker implantation were enrolled in the Department of Cardiology,Yanjishan Hospital, Wannan Medical College.From May 2016 to December 2017,all patients underwent routine electrocardiogram and dynamic electrocardiogram detection.The efficiency of routine electrocardiogram and dynamic electrocardiogram for postoperative dysfunction of pacemaker were compared.The dynamic electrocardiogram was used to detect different pacemakers,pacing dysfunction and pacing-related arrhythmia.Results There were 44 cases of dynamic electrocardiographic abnormalities in pacemakers after pacemaker implantation,which was higher than 16 cases of conventional electrocardiogram,the difference was statistically significant(P<0.05). There was no significant difference in DCG between different types of pacemaker perception and pacing function and self-arrhythmia (P>0.05).Conclusion The dynamic electrocardiogram is more effective than the 12-lead ECG in the detection of pacemaker pacing dysfunction.It can be used as a non-invasive method to better understand the working status of different types of pacemakers,and to detect abnormal pacing and arrhythmia.

参考文献/References:

[1]席延琴.应用动态心电图分析心脏起搏器功能的价值[J].中国实用医药,2013,8(4):24-25. [2]张震翼,刘悦琴,陈玲,等.心脏起搏器植入术后动态心电图检测分析[J].国际医药卫生导报,2014,20(5):683-684. [3]Redhai S,Hellberg JE,Wainwright M,et al.Ｒegulation of DenseCore Granule Ｒeplenishment by Autocrine BMP Signalling in Drosophila Secondary Cells[J].PLoS Genet,2016,12(10):e1006366． [4]李波,韩雪,纳志英,等.DDD 起搏器植入后不同患者的动态心电图的表现及其临床意义[J].昆明医科大学学报,2014,35(10):134-135. [5]Tammimies K,Bieder A,Lauter G,et al.Ciliary dyslexia candidate genes DYX1C1 and DCDC2 are regulated by Ｒegulatory Factor X(ＲFX)transcription factors through X-box promoter motifs[J].FASEB J,2016,30(10):3578-3587. [6]郑光卓.常规 12 导联心电图与24h动态心电图诊断起搏器植入患者心律失常检出率的对比观察[J].临床和实验医学杂志,2016,15(9):905-907. [7]李波,纳志英,韩雪,等.不同类型起搏器术后动态心电图的临床应用价值[J].广东医学,2014,35(21):3379-3381. [8]邓毅斯.起搏器植入术后24h动态心电图监测87例临床研究[J].中国医药指南,2013,11(21):466-467. [9]Cieck D,Balcioglu As,Lakadamyali H,et al.Effects of three month nasual continuous positive airway pressure treatment on electrocardiographic,echocardiographic and overnight polysomnographic parameters in newly diagnosed moderate/severe obstructive sleep apnea [J].Int heart J,2015,56(1):94-99. [10]张园园.动态心电图在埋藏式起搏器植入术后的临床应用价值 [J].中国农村卫生事业管理,2017,37(11):1423-1424. [11]郭喜梅.24 h 动态心电图检查在起搏器植入心律失常诊断中的应用[J].临床医学,2017,44（10）：65-66. [12]陈柯萍.心血管急症救治(6)缓慢性心律失常的诊断和处理（续５）[J].中国循环杂志,2014,29(4):244-246. [13]蒋勇,向芝青,安俊华,等.临时起搏器功能障碍动态心电图分析[J].延边医学,2015,10(15):228． [14]余凤.动态心电图在心脏起搏器患者随访中的价值[J].中国农村卫生事业管理,2014,34(7):894-896.

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更新日期/Last Update: 2018-11-09