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通过对健康人216例、高血压病、冠心病、心肌炎各48例按病种随机分组,在农历每月朔日(初一)和望日(十五)进行24h 动态心电图监测,观察心律失常、心肌缺血的季日和时辰的变化趋势。结果表明:ST 段水平型压低、≥1mm 的检出率(%)和压低平均程度(mm·min/例)、冬季(分别为39.7%和345.2%)、春季(分别为25.6%和305.6%)明显高于夏秋两季(P<0.005—0.05)。室性早搏检出率和平均程度则分别以春季(67.8%)和冬季(321.7搏·级/例)为最重(P<0.005—0.05)。无论何季,在一日之中 ST 段压低和室性早搏时辰例次比率以卯-已时最高(分别为41.7%和34.2%)。房性早搏检出率无季间差异,但其平均程度以冬季(94.4搏/例)为最重(P<0.05)。房性早搏在春季以子-寅时、冬季以酉-亥时发生例次比率最高(分别为45.6%和48.4%)。
In this study, 216 healthy subjects were enrolled in this study. Hypertension, coronary heart disease and myocarditis were randomly divided into two groups: 48 cases in each group, and monitored on the first day of Lunar New Year and the first day of the Lunar New Year (15th) respectively. The arrhythmia, Changes in the season and hour of myocardial ischemia. The results showed that the incidence of ST-segment depression, the detection rate (%) of ≥1 mm and the mean degree of depression (mm · min / case) in winter were the highest (39.7% and 345.2% ) Was significantly higher than that in summer and autumn (P <0.005-0.05). The detection rate and the average degree of ventricular premature beats were the highest (P <0.005-0.05) in spring (67.8%) and winter (321.7%) respectively. Regardless of the quarter, ST-segment depression and premature ventricular contractions were highest in the first day (41.7% and 34.2% respectively). The detection rate of atrial premature beats had no seasonal differences, but the average degree was the heaviest in winter (94.4 stroke / case) (P <0.05). Atrial premature beats in the spring sub-Yin, the winter unitary - Hai when the highest occurrence rate (45.6% and 48.4% respectively).