動態(tài)心電圖結(jié)合活動平板試驗對室性早搏兒童運動風險診斷價值

柴靜　帥燕

[摘要] 目的 分析室性早搏患兒運動風險臨床診斷中動態(tài)心電圖（DCG）與活動平板試驗（IMI）聯(lián)合應(yīng)用的價值意義。方法 方便選擇該院于2018年1—12月期間收治的室性早搏患兒89例為研究對象，所有患兒均接受動態(tài)心電圖檢查、活動平板試驗，通過對比分析患兒的動態(tài)心電圖檢查結(jié)果、活動平板試驗結(jié)果，評估患兒的運動風險。 結(jié)果 動態(tài)心電圖檢查結(jié)果顯示83例患兒存在運動風險，檢出率為93.26%;分別于患兒運動前、運動時以及運動后施以活動平板試驗檢查，結(jié)果顯示有80例患兒存在運動風險，檢出率為89.89%;就動態(tài)心電圖檢查結(jié)果、活動平板試驗檢查結(jié)果進行對比，組間差異無統(tǒng)計學意義（χ2=0.655 2，P>0.05）;動態(tài)心電圖檢查可以對患兒的室早性質(zhì)、頻率以及起源部位進行明確，與活動平板試驗結(jié)果之間并不存在關(guān)聯(lián)性，但患兒早搏高發(fā)時間、活動平板試驗陽性率之間存在非常密切的關(guān)系。 結(jié)論 室性早搏患兒運動風險臨床診斷中，聯(lián)合應(yīng)用動態(tài)心電圖、活動平板試驗兩種檢查方案，可以有效監(jiān)測患兒的心律失常情況，進而為醫(yī)生評估患兒的運動風險提供有價值的參考依據(jù)，以保證評估科學性與有效性。

[關(guān)鍵詞] 患兒;室性早搏;運動風險;動態(tài)心電圖;活動平板;診斷價值

[中圖分類號] R540.41? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2019）05（a）-0174-03

[Abstract] Objective To analyze the value of dynamic electrocardiogram （DCG） combined with active plate test （IMI） in the clinical diagnosis of ventricular premature beats. Methods Convenient select a total of 89 children with ventricular premature beats admitted to our hospital from January to December 2018 were enrolled in the study. All patients underwent dynamic electrocardiography and active plate test. The dynamic electrocardiogram of the children was analyzed by contrast analysis. The results of the examination and active plate test， and the risk of exercise in the child were evaluated. Results The results of dynamic electrocardiogram showed that there were 83 children with exercise risk， and the detection rate was 93.26%. The exercise plate test was performed before， during and after exercise. The results showed that there were 80 children with exercise risk， the detection rate was 89.89%. The results of dynamic electrocardiogram examination and activity plate test were compared， there was no statistical difference between the groups （χ2=0.655 2， P>0.05）. Dynamic electrocardiogram can be used for the room of the child. The early nature， frequency， and origin were clearly defined， and there was no correlation between the results of the active plate test， but there was a very close relationship between the premature beat time and the positive rate of the active plate test. Conclusion In the clinical diagnosis of exercise risk in children with ventricular premature beats， the combination of dynamic electrocardiogram and active plate test can effectively monitor the arrhythmia of children， and provide a valuable reference for doctors to assess the risk of exercise， in order to ensure the assessment of scientific and effective.

[Key words] Children; Ventricular premature beats; Exercise risk; Dynamic electrocardiogram; Active plate; Diagnostic value