柴靜　帥燕

[摘要] 目的 分析室性早搏患兒運(yùn)動(dòng)風(fēng)險(xiǎn)臨床診斷中動(dòng)態(tài)心電圖（DCG）與活動(dòng)平板試驗(yàn)（IMI）聯(lián)合應(yīng)用的價(jià)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(duì)象，所有患兒均接受動(dòng)態(tài)心電圖檢查、活動(dòng)平板試驗(yàn)，通過對(duì)比分析患兒的動(dòng)態(tài)心電圖檢查結(jié)果、活動(dòng)平板試驗(yàn)結(jié)果，評(píng)估患兒的運(yùn)動(dòng)風(fēng)險(xiǎn)。 結(jié)果 動(dòng)態(tài)心電圖檢查結(jié)果顯示83例患兒存在運(yùn)動(dòng)風(fēng)險(xiǎn)，檢出率為93.26%;分別于患兒運(yùn)動(dòng)前、運(yùn)動(dòng)時(shí)以及運(yùn)動(dòng)后施以活動(dòng)平板試驗(yàn)檢查，結(jié)果顯示有80例患兒存在運(yùn)動(dòng)風(fēng)險(xiǎn)，檢出率為89.89%;就動(dòng)態(tài)心電圖檢查結(jié)果、活動(dòng)平板試驗(yàn)檢查結(jié)果進(jìn)行對(duì)比，組間差異無統(tǒng)計(jì)學(xué)意義（χ2=0.655 2，P>0.05）;動(dòng)態(tài)心電圖檢查可以對(duì)患兒的室早性質(zhì)、頻率以及起源部位進(jìn)行明確，與活動(dòng)平板試驗(yàn)結(jié)果之間并不存在關(guān)聯(lián)性，但患兒早搏高發(fā)時(shí)間、活動(dòng)平板試驗(yàn)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(yùn)動(dòng)風(fēng)險(xiǎn)臨床診斷中，聯(lián)合應(yīng)用動(dòng)態(tài)心電圖、活動(dòng)平板試驗(yàn)兩種檢查方案，可以有效監(jiān)測患兒的心律失常情況，進(jìn)而為醫(yī)生評(píng)估患兒的運(yùn)動(dòng)風(fēng)險(xiǎn)提供有價(jià)值的參考依據(jù)，以保證評(píng)估科學(xué)性與有效性。

[關(guān)鍵詞] 患兒;室性早搏;運(yùn)動(dòng)風(fēng)險(xiǎn);動(dòng)態(tài)心電圖;活動(dòng)平板;診斷價(jià)值

[中圖分類號(hào)] R540.41? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 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