动态心电图结合活动平板试验对室性早搏儿童运动风险诊断价值

柴静　帅燕

[摘要] 目的 分析室性早搏患儿运动风险临床诊断中动态心电图（DCG）与活动平板试验（IMI）联合应用的价值意义。方法 方便选择该院于2018年1—12月期间收治的室性早搏患儿89例为研究对象，所有患儿均接受动态心电图检查、活动平板试验，通过对比分析患儿的动态心电图检查结果、活动平板试验结果，评估患儿的运动风险。 结果 动态心電图检查结果显示83例患儿存在运动风险，检出率为93.26%;分别于患儿运动前、运动时以及运动后施以活动平板试验检查，结果显示有80例患儿存在运动风险，检出率为89.89%;就动态心电图检查结果、活动平板试验检查结果进行对比，组间差异无统计学意义（χ2=0.655 2，P>0.05）;动态心电图检查可以对患儿的室早性质、频率以及起源部位进行明确，与活动平板试验结果之间并不存在关联性，但患儿早搏高发时间、活动平板试验阳性率之间存在非常密切的关系。 结论 室性早搏患儿运动风险临床诊断中，联合应用动态心电图、活动平板试验两种检查方案，可以有效监测患儿的心律失常情况，进而为医生评估患儿的运动风险提供有价值的参考依据，以保证评估科学性与有效性。

[关键词] 患儿;室性早搏;运动风险;动态心电图;活动平板;诊断价值

[中图分类号] R540.41          [文献标识码] A          [文章编号] 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