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目的对500例患有心血管疾病的老年患者实施24h动态心电图检测取得的临床效果进行分析。方法在我院2012年4月至2017年4月收录的老年心血管疾病患者中,随机选取500例,以年龄为依据,将其分为三个区间:60-69岁、70-79岁、80岁以上,对不同年龄区间的心血管疾病患者使用24h动态心电图,对比分析其心律失常状况以及窦性心律状况。结果三个区间的心血管患者中共有437例表现出心律失常,占87.4%的比例。患者在心律失常检出率方面差异有统计学意义(P<0.05),其中60-69岁患者的心律失常检出率最小,70-79岁的患者的心律失常检出率最高。三个年龄区间的老年心血管疾病患者在窦性心律变化上的差异有统计学意义(P<0.05)。结论患有心血管疾病的老年人在24h动态心电图检测下呈现着相似的临床效果,具体的不同会随着年龄的增长显现出来,24h动态心电图的使用有利于医生有效诊断心血管疾病,进而给予患者及时的诊治,有着重要的临床意义。
Objective To analyze the clinical effect of carrying out ambulatory electrocardiogram examination in 500 elderly patients with cardiovascular diseases. Methods In our hospital from April 2012 to April 2017 included in the elderly patients with cardiovascular disease, 500 cases were randomly selected, based on age, divided into three intervals: 60-69 years old, 70-79 years old, Over the age of 80, patients with cardiovascular disease in different age groups 24h dynamic electrocardiogram, comparative analysis of arrhythmia and sinus rhythm. Results A total of 437 cardiovascular events in the three ranges showed arrhythmia, accounting for 87.4%. Patients in the detection rate of arrhythmia differences were statistically significant (P <0.05), of which 60-69 years old patients with the smallest detection rate of arrhythmia, 70-79 years old patients with the highest detection rate of arrhythmia. The differences in sinus rhythm between elderly patients with cardiovascular diseases in three age groups were statistically significant (P <0.05). Conclusion The elderly patients with cardiovascular diseases showed similar clinical results in 24h dynamic electrocardiogram test, the specific differences will appear with age, 24h use of Holter is conducive to the effective diagnosis of cardiovascular disease, and then given to patients Timely diagnosis and treatment, has important clinical significance.