摘要：目的" 研究动态心电图(DCG)在心房颤动(AF)患者临床诊疗中的监测价值。方法" 以2022年3月-2023年3月于我院确诊的78例AF患者设为AF组，另取50例同期体检健康者设为健康组，两组均给予DCG监测，比较两组DCG监测参数[P波离散度(Pd)、P波最大时限(Pmax)、P波最小时限(Pmin)]，统计AF组患者白天与夜间的长RR间期发生情况，并观察AF组患者治疗前后的DCG参数与长RR间期发生情况。结果" AF组Pd、Pmax值高于健康组，Pmin值低于健康组(P<0.05)；AF组治疗后Pd、Pmax值低于治疗前，Pmin值高于治疗前(P<0.05)；AF组患者夜间长RR间期发生率、发生次数多于白天，平均心室率小于白天(P<0.05)；AF组患者治疗后长RR间期发生率、发生次数多于治疗前，平均心室率低于治疗前(P<0.05)。结论" DCG在AF临床诊疗中具有确切监测价值，其心电参数可反映疾病的发生与治疗情况。

    关键词：心房颤动；动态心电图；P波离散度；长RR间期；房室传导阻滞

    中图分类号：R541.7；R444" " " " " " " " " " " " " " 文献标识码：A" " " " " " " " " " " " " " "DOI：10.3969/j.issn.1006-1959.2024.16.032

    文章编号：11006-1959(2024)16-0139-04

    Monitoring Value of Dynamic Electrocardiogram in the Clinical Diagnosis

    and Treatment of Patients with Atrial Fibrillation

    YE Pei，ZENG Gui-xiang

    (ECG Room，Nanchang People's Hospital，Nanchang 330000，Jiangxi，China)

    Abstract：Objective" To study the monitoring value of dynamic electrocardiogram (DCG) in the clinical diagnosis and treatment of patients with atrial fibrillation (AF).Methods" A total of 78 patients with AF diagnosed in our hospital from March 2022 to March 2023 were set as AF group ......