摘要
目的研究24 h动态心电图在冠心病性心律失常诊断中的应用及准确性。方法运用方便抽样方法选出300例冠心病性心律失常患者作为观察对象,病例通过软件自动排序后,将每一序号放入密封的信封中,根据放入的先后顺序实施盲抽,最后将其随机分成2组展开研究,依次为对照组与观察组,各150例。对照组采用常规心电图监护方式,观察组采用24 h动态心电图监护方式。观察2组症状检出情况、诊断准确率、心电图的评分及满意度。结果观察组房性早搏早发、室性早搏早发、短阵室上速、房性早搏二三联律、室性早搏二三联律、房性早搏成对及室性早搏成对症状检出率均高于对照组,差异有统计学意义(P<0.05)。观察组患者检查符合率98.00%,高于对照组的92.67%,差异有统计学意义(P<0.05)。观察组患者心电图评分安全性、实用性、准确性评分均高于对照组,差异有统计学意义(P<0.05)。观察组满意度程度评分中患者护士态度、操作技能、健康宣教、心理疏导及总评分高于对照组,差异有统计学意义(P<0.05)。结论在冠心病性心律失常诊断中,采取24 h动态心电图能得到更为准确的诊断,避免发生漏诊、误诊等不良事件的发生,及时了解疾病动态,积极采取预防与治疗手段,预防其进一步恶化,保护患者的生命安全,对其预后有着积极的影响。
Objective To study the application and accuracy of 24 h dynamic electrocardiogram in the diagnosis of coronary arrhythmia.Methods Using the convenient sampling method,300 patients with coronary heart arrhythmia admitted to our hospital were selected as observation objects.After the cases were automatically sorted by the software,each serial number was placed in a sealed envelope.Blind sampling was carried out in the order of placement,and finally they were randomly assigned to two groups for research,followed by the control group and the observation group,each with 150 cases.The control group used conventional ECG monitoring,and the observation group used 24 h dynamic ECG monitoring.Observing the detection of symptoms,ECG scores and satisfaction in the two groups.Results In the observation group,the symptoms of premature atrial contractions,premature ventricular contractions,short bursts of supraventricular tachycardia,two-triple rhythm of atrial premature beats,two-triple rule of ventricular premature beats,paired atrial premature beats,and paired ventricular premature beats were detected The rates were higher than those of the control group,and the differences were statistically significant(P<0.05).The coincidence rate of patients in the observation group was 98.00%,which was higher than 92.67%in the control group,and the difference was statistically significant(P<0.05).The safety,practicability and accuracy of ECG scores in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).In the observation group’s satisfaction degree scores,the patient’s nurse attitude,operating skills,health education,psychological counseling and total scores were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion In the diagnosis of coronary heart disease arrhythmia,24 h dynamic electrocardiogram can be used to obtain a more accurate diagnosis,avoid missed diagnosis,misdiagnosis and other adverse events,timely understand the disease dynamics,and actively adopt prevention and treatment methods to prevent its further deterioration.Protecting the lives of patients has a positive impact on their prognosis and deserves recognition.
作者
蔡燕
CAI Yan(Department of Cardiac Surgery,the First Affiliated Hospital of University of Science and Technology of China,Anhui Provincial Hospital,Hefei Anhui 230001,China)
出处
《河南医学高等专科学校学报》
2021年第5期519-522,共4页
Journal of Henan Medical College
关键词
冠心病性心律失常
24
h动态心电图
准确性
coronary heart disease arrhythmia
24 h dynamic electrocardiogram
accuracy
