杨丽宁

摘要：目的：探究动态心电图在心律失常及心肌缺血临床工作中所发挥的重要作用。方法：选择我院于2019年至2020年收治的240例患者作为研究对象，按照其心脏代偿情况将其随机平均分为心脏代偿组与心脏失代偿组，每组各120例，比较其应用动态心电图监测后ST段数据。结果：心脏代偿组ST抬高的幅度为（1.36±2.34）mV、时长为（0.45±0.63）秒、发生率为3.33%，ST下移的幅度为（1.59±2.49）mV、时长为（1.36±0.54）秒，发生率为4.16%;心脏失代偿组ST抬高的幅度为（2.65±1.35）mV、时长为（1.58±3.69）秒、发生率为4.16%，ST下移的幅度为（3.26±2.24）mV、时长为（2.58±0.38）秒，发生率为10%，两组患者ST抬高、下移及发生率的对比差异显著，心脏失代偿组明显高于心脏代偿组（p<0.05）。结论：在慢性肺心病的临床工作中，动态心电图监测有助于疾病的诊断，主治医师根据动态心电图监测结果，为患者制定个性化的治疗方案，并为患者的临床治疗奠定良好的物质基础。

关键词：慢性肺心病;心律失常;心肌缺血;动态心电图

Abstract： Objective： To explore the important role of Holter in the clinical work of arrhythmia and myocardial ischemia. Method： 240 patients admitted to our hospital from 2019 to 2020 were selected as the research objects， and they were randomly divided into cardiac compensation group and cardiac decompensation group according to their cardiac compensation status， 120 cases in each group， comparison It uses the ST segment data after Holter monitoring. Results： The amplitude of ST elevation in the cardiac compensation group was （1.36±2.34） mV， the duration was （0.45±0.63） seconds， the incidence was 3.33%， the amplitude of ST depression was （1.59±2.49） mV， and the duration was （ 1.36±0.54） seconds， the incidence rate was 4.16%; the amplitude of ST elevation in the cardiac decompensation group was （2.65±1.35） mV， the duration was （1.58±3.69） seconds， the incidence rate was 4.16%， and the amplitude of ST downward shift It was （3.26±2.24） mV， the duration was （2.58±0.38） seconds， and the incidence was 10%. There were significant differences in ST elevation， depression and incidence between the two groups. The cardiac decompensation group was significantly higher than the cardiac generation Compensation group （p<0.05）. Conclusion： In the clinical work of chronic pulmonary heart disease， Holter monitoring is helpful for the diagnosis of the disease. The attending physician can formulate personalized treatment plans for patients based on the results of Holter monitoring， and lay a good material foundation for the clinical treatment of patients.

Keywords： chronic pulmonary heart disease; arrhythmia; myocardial ischemia; dynamic electrocardiogram

在肺心病的臨床工作中，患者因为心脏的代偿能力减弱，从而引发慢性肺心病，严重者甚至会诱发心力衰竭，严重危及到广大老年患者的身心健康[1-3]。为了全面了解患者的心脏代偿情况，临床上通常会应用心电图对患者的心脏功能进行监测[4]。随着医疗技术的快速发展，常规的心电图监测方式凸显出了一定的不足之处，由于无法监测出患者各个时段的心脏功能而逐渐淡出医疗行业，取而代之的则是动态心电图监测手段[5-7]。为探究动态心电图监测在慢性肺心病的临床工作中发挥的重要价值，特选择我院于2019年至2020年收治的240例患者作为研究对象，对其临床资料进行回顾性分析，现报道如下。……