目的:研究分析冠心病并发心律失常应用24h长时动态心电图诊断的应用价值,为临床防治提供参考.方法:选取2015年1月~2017年5月期间在我院接受诊治的200例冠心病并发心律失常患者作为研究对象,所有患者均接受常规心电图、24h长时动态心电图检查.比较两种检查方法在冠心病阳性率检出情况,同时分析患者对两种检查方法认可度.结果: 24h长时动态心电图检出冠心病阳性率较高于常规心电图,但差异无统计学意义;24h长时动态心电图检查对室性二或三联律、室性早搏成对、房性早搏早发、房性早搏二或三联律、房性早搏成对、短阵室上速的检出率均高于常规心电图检查,差异有统计学意义;24h长时动态心电图诊断室上性早搏早发检出率与常规心电图比较,差异无统计学意义;200例患者对24h长时动态心电图检查准确性的认可度高于常规心电图检查,差异有统计学意义;患者对两种检测方式安全性、实用性、可重复性的认可度比较,差异无统计学意义.结论:冠心病并发心律失常应用24h长时动态心电图诊断的应用价值较高,能对患者心功能状态进行更为准确的反映,值得临床推广.%Objective To study the application value of 24-hour ambulatory electrocardiogram in the treatment of coronary heart disease complicated with arrhythmia, and to provide reference for clinical prevention and treatment. Methods 200 cases of patients with coronary heart disease complicated with arrhythmia who were treated in our hospital from January 2015 to May 2017 were enrolled in this study. All patients received routine electrocardiogram and 24 h long-time ambulatory electrocardio-gram. The positive rate of coronary heart disease was detected in the two methods, and the patients were compared with the two methods. Results The positive rate of coronary heart disease was higher than that of conventional electrocardiogram, but the dif-ference was not statistically significant.24h long-time ambulatory electrocardiogram on the ventricular or triple law, ventricular premature beats pacing, premature ventricular premature beats, atrial premature beats two or triple law, atrial premature beats, short array of the rate of detection rate Higher than the conventional electrocardiogram, the difference was statistically signifi-cant; There was no significant difference in the early detection rate of ventricular premature beats compared with conventional electrocardiogram. The accuracy of 24 h long-term ambulatory electrocardiogram was higher than that of conventional elec-trocardiogram. There was no significant difference in the safety, practicability and reproducibility of the two detection methods. Conclusion Coronary heart disease complicated by arrhythmia 24 hours long dynamic electrocardiogram diagnosis of the ap-plication of a higher value, the patient's cardiac function can be more accurately reflected, worthy of clinical promotion.
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