起搏器术后患者常规及动态心电图监测的临床研究

目的 比较常规心电图与动态心电图在起搏器术后监测的效率，探讨分析动态心电图对不同起搏器术后监测的临床价值。方法 选取皖南医学院弋矶山医院心内科2016年5月~2017年12月100例起搏器植入术后患者为研究对象，所有患者均行常规心电图、动态心电图检测，比较常规心电图和动态心电图对起搏器术后功能异常检测效率，并分析动态心电图对不同起搏器感知、起搏功能异常以及起搏相关心律失常情况。结果 对起搏器植入术后患者动态心电图检测搏器功能异常为44例，高于常规心电图检测的16例，差异具有统计学意义（P＜0.05）。DCG对不同类型起搏器感知和起搏功能异常、自身心律失常比较，差异无统计学意义（P＞0.05）。结论 动态心电图对起搏器起搏功能异常的检测效能较12导心电图高，并且可以作为一种无创手段较好的了解不同类型起搏器工作状态，检测起搏功能异常和心律失常情况。

Clinical Study of Routine and Dynamic Electrocardiogram Monitoring in Patients after Pacemaker Surgery

Objective To compare the efficiency of conventional electrocardiogram and dynamic electrocardiogram monitoring after pacemaker,and to analyze the clinical value of dynamic electrocardiogram for postoperative monitoring of different pacemakers. Methods A total of 100 patients with pacemaker implantation were enrolled in the Department of Cardiology,Yanjishan Hospital, Wannan Medical College.From May 2016 to December 2017,all patients underwent routine electrocardiogram and dynamic electrocardiogram detection.The efficiency of routine electrocardiogram and dynamic electrocardiogram for postoperative dysfunction of pacemaker were compared.The dynamic electrocardiogram was used to detect different pacemakers,pacing dysfunction and pacing-related arrhythmia.Results There were 44 cases of dynamic electrocardiographic abnormalities in pacemakers after pacemaker implantation,which was higher than 16 cases of conventional electrocardiogram,the difference was statistically significant(P<0.05). There was no significant difference in DCG between different types of pacemaker perception and pacing function and self-arrhythmia (P>0.05).Conclusion The dynamic electrocardiogram is more effective than the 12-lead ECG in the detection of pacemaker pacing dysfunction.It can be used as a non-invasive method to better understand the working status of different types of pacemakers,and to detect abnormal pacing and arrhythmia.