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1、动态心电图分析长RR间期的临床价值河北省第七人民医院河北定州073000作者信息杨赞锋：河北省第七人民医院功能科心电图室主治医师刘旭静：河北省第七人民医院功能科彩超室张瑞肖：河北省第七人民医院功能科胃镜室车清：河北省第七人民医院功能科心电图室张浩：河北省第七人民医院功能科心电图室摘要：目的研究分析动态心电图分析长RR间期的临床价值。方法选取我院收治的80例行动态心电图提示长RR间期的患者，对患者的临床症状及常RR间期发生的有关致病原因等进行统计分析。结果木次入选的80例行动态心电图提示长RR间期的患者中，有25例为冠心病患者，40例高血压患者，4例糖尿病患者，3
2、例心肌病，5例心肌梗死患者，3例慢性肺源性心脏病等。长RR间期和多种病因有着重要的相关性，其中房早未下传、窦性心动过缓伴心律不齐、房颤伴长RR及窦性停搏等病因战友的比率相对来说较高，均在12%之上，而室性早搏、房性早搏、室性逸搏、高度房室阻滞、II度房室阻滞以及短暂的全心停搏等发生情况均在12%以下；同时房早未下传和房颤伴长RR明显更高，之间比较具有显著性差异，P<0.05,具有统计学意义。结论经过动态心电图检查可及时有效的检查出长RR间期出现的有关病因等，及时的釆取有效的治疗措施，降低临床意外的发生情况，该检查方法在监测长RR间期具有重要临床意义，值得广泛推广
3、。关键词：动态心电图；长RR间期；临床价值【中图分类号】R917.8【文献标识码】A【文章编号】1001-5213(2016)09-0049-01Abstract:objectivetostudythedynamicecganalysistheclinicalvalueoflongRRinterphase.Methodsselectourhospitalbetween80routinedynamicelectrocardiogrampromptlongRRperiod,thepatientclinicalsymptomsofpatientsandoftenRRp
4、eriodbetweentheoccurrenceofthecausesofstatisticalanalysis.Theresultsoftheselected80routinedynamicelectrocardiograminpatientswithlongRRinterphase,25casesofpatientswithcoronaryheartdisease(CHD),40patientswithhypertension,4casesofdiabeticpatients,3casesofcardiomyopathy,5patientswithmyoc
5、ardialinfarction,3casesofchroniccorpulmonale.LongperiodandavarietyofcauseshasanimportantcorrelationbetweentheRR,theroomnottoearlyandsinusbradycardiaarrhythmia,atrialfibrillationwithlongRRandsinusarrestcauseratesarerelativelyhighinarms,allabove12%,andatrialprematurebeat,ventricularpre
6、maturebeat,ventricularescapebeat,highlyatrioventricularblock,IIdegreeatrioventricularblockandshort,withallmyheartcardiacarrestishappeningallbelow12%;AtthesametimeroomearlynotpreachandatrialfibrillationwithlongRRsignificantlyhigher,comparisonbetweenhavesignificantdifference,P<0.05,
7、withstatisticalsignificance.ConclusionafterdynamicecgexaminationcanbetimelyandeffectivelycheckoutlongRRofinterphaseaboutetiology,etc,timelytakeeffectivetreatmentmeasurestoreducetheoccurrenceofclinicalaccident,theexaminationmethodhasimportantclinicalsignificanceinthemonitoringperiodbe
8、tweenlongRR,
