杨丽宁

摘要：目的：探究冠心病患者的动态心电图检测情况。方法：选择我院于2019年至2020年收治的231例冠心病患者作为研究对象，对其临床资料进行回顾性分析，按照所应用心电图的不同，将其分为对照组与试验组，对照组的110例患者实施常规心电图监测，试验组的121例患者实施24小时动态心电图监测，比较两组患者的冠心病性心律失常的检出情况。结果：对照组监测方式的实用性得分为（5.23±2.15）、安全性得分为（6.37±2.45）、结果准确性得分为（7.36±1.84）;试验组监测方式的实用性得分为（8.67±1.62）、安全性得分为（9.36±1.48）、结果准确性得分为（9.67±1.85），两组监测方式的各项得分对比差异显著，试验组明显高于对照组（p<0.05）。结论：在冠心病患者的临床工作中采用24小时动态心电图监测能够快速、准确的检出病灶，其效果较常规心电图监测显著，准确的反映出患者各项心肌功能，是心脏内科患者的临床工作中最佳的辅助检查方式。

关键词：冠心病;心律失常;24h动态心电图监测

Abstract： Objective： To explore the dynamic electrocardiogram detection of patients with coronary heart disease. Methods： 231 patients with coronary heart disease admitted to our hospital from 2019 to 2020 were selected as the research objects， and their clinical data were retrospectively analyzed. According to the different electrocardiograms used， they were divided into control group and experimental group， and control group 110 patients in the experimental group were monitored by conventional ECG， and 121 patients in the experimental group were monitored by 24-hour dynamic ECG. The detection of coronary arrhythmia in the two groups was compared. Results： The practicality score of the monitoring method in the control group was （5.23±2.15）， the safety score was （6.37±2.45）， and the result accuracy score was （7.36±1.84）; the practicality score of the experimental group monitoring method was （8.67± 1.62）， the safety score is （9.36±1.48）， and the result accuracy score is （9.67±1.85）. There are significant differences in the scores of the two monitoring methods， and the test group is significantly higher than the control group （p<0.05）. Conclusion： In the clinical work of patients with coronary heart disease， 24-hour dynamic ECG monitoring can quickly and accurately detect the lesions， and its effect is more significant than conventional ECG monitoring， and it accurately reflects the patient’s various myocardial functions. It is the clinical work of cardiology patients The best auxiliary inspection method in China.

Keywords： Coronary Heart Disease; Arrhythmia; 24h Holter Monitoring

随着我国步入人口老龄化进程的不断加快，越来越多的慢性疾病发病率呈现了逐年递增的发展趋势，尤其是以冠心病为首的慢性心脏疾病，严重的困扰着广大老年人群[1-3]。在心血管疾病的临床工作中，冠心病是一种常见的疾病类型，严重甚至会诱发患者猝死。所以，在临床工作中，为了给予广大冠心病患者相应的诊疗措施，须辅以有效、准确的诊断方式[4-6]。心电图作为冠心病临床工作中一种常见的检查方式，能够快速反映出心脏功能，从而帮助主治医师诊断病灶所在[7]。……