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class="bigtitle">“小盒子”，大应用！动态心电图那些事儿</h1> <div id="smalltitle" class="smalltitle"><span class="author">来源：<a href="">华龙网-新重庆客户端</a></span><span class="time">2020-11-29</span><a href="#" class="fright"><span class="hl-cmt-totalcount" style="color:#999;"></span></a></div> <div id="_h5_content" class="main_text"> <p style="text-indent: 2em;">在现代医学检查中，心电图已经成为不可或缺的常规检查项目。通过心电图检查，医生能最快速的获得患者心律失常的类型、严<span style="text-indent: 2em;">重程度，并能间接了解到心肌的功能、肥厚程度、缺血状况等。但常规心电图往往有一个局限性，那就是检查时间太短。</span></p><p style="text-indent: 2em;">作为心电图医生，重庆康心医院心功能室主任罗昭林说在检查过程中经常会听见病人说“这会儿不难受了，刚刚难受的感觉已经过去了……”。若在短短的一分钟内，患者未发生病情，则无法捕捉到“阳性”症状。这也是为什么病人常自述不舒服，却得到一份“正常心电图”结果的原因。直到20世纪60年代，一项能长时间连续、动态记录心电图的技术应运而生——动态心电图（Holter心电图）。</p><p style="text-indent: 2em;"><strong>什么是动态心电图？</strong></p><p style="text-indent: 2em;">动态心电图是一套系统：包括有记录器、导联线、电极和数据回放处理系统，记录器是通过导联线与受检者体表相连的、随身携带的心电信息采集和存储设备。Holter心电图机就像是常规心电图仪器的迷你版，能随身携带，具有便捷、经济、无创等优点，其工作原理，甚至内部的电路和普通心电图机相比没有太大区别，仅是记录和输出方式不同。</p><p style="text-align: center"><img src="https://web.archive.org/web/20210118140117im_/http://i2.cqnews.net/health/2020-11/29/631906b9-3f40-4abf-b61a-1de27da440e7.jpg" style="max-width: 100%;"/></p><p style="text-align: center;"><span style="font-family: 楷体, 楷体_GB2312, SimKai;">记录仪、导联线和电极片。院方供图</span></p><p style="text-align: center"><img src="https://web.archive.org/web/20210118140117im_/http://i3.cqnews.net/health/2020-11/29/02464dec-da74-47b7-83a8-0263bd55003d.jpg" style="max-width: 100%;"/></p><p style="text-align: center;"><span style="font-family: 楷体, 楷体_GB2312, SimKai;">数据回放处理系统<span style="text-align: center;">。院方供图</span></span></p><p style="text-indent: 2em;">随着科学技术的发展，如今的动态心电图记录盒已越发小巧袖珍，在24小时连续记录盒的基础上，也出现了48小时乃至更长时间的连续佩戴记录盒。据罗昭林主任介绍，新型的记录盒具有更强的抗肌电和抗交流电干扰的功能，在体积小、耗电低、有记忆功能的优势上增加了时间的延续性，使得患者能在更长时间内获得有效的心电记录。</p><p style="text-indent: 2em;"><strong>动态心电图与一般的普通心电图有什么不同？</strong></p><p style="text-indent: 2em;">它可以连续不间断24小时，甚至更长时间监测记录受检者的日常生活和工作状态下的心电活动。一次完整的24小时动态心电记录可获得高达10万次左右的心电波，如果是采用常规普通心电图机记录下这10万次左右的心电波，所需记录纸可长达2.5公里。</p><p style="text-indent: 2em;">近年来由于数据存储技术的进步，可使得Holter记录盒采集到的心电波几乎不会被遗漏，并全部存储起来，然后传输到回放系统进行分析诊断，再将有价值的心电信息提供给临床医生。</p><p style="text-indent: 2em;"><strong>为什么要做动态心电图？</strong></p><p style="text-indent: 2em;">在就诊的过程里常有人对医生自述，自己偶尔或时常出现心慌、胸闷、胸痛、头昏、晕厥等疑似心脏疾病的症状，但每次的心电图检查却正常或仅有轻度异常，未提供有价值的诊断信息，临床医生就会让病人加做动态心电图检查，以获得更全面的心电记录。下面就简要介绍一下其主要应用，帮助大家了解为何在必要的情况下需要做动态心电图检查。</p><p style="text-indent: 2em;"><strong>动态心电图的主要应用</strong></p><p style="text-indent: 2em;">1.长时间记录心跳搏动：常规心电图记录时间短，而动态心电图是24小时或以上的实时监测记录，能把监测期间内的每一心跳搏动（不管是正常或异常）都记录下来，提供给心电图医生分析判断，最后将结果提供给临床医生为病人的疾病做出更准确的诊断。</p><p style="text-indent: 2em;">2.捕获偶发一过性、短阵的心电事件：在日常生活中部分人会出现一些一过性心电事件，如偶发、短阵心律失常（即心脏乱跳）或一过性心肌缺血，而常规心电图由于受记录时间和记录方式的限制，却很难捕捉到这些症状发作时的心电图。此时应用动态心电图能长时间记录的明显优势，通过动态心电图检查往往能获得对临床有诊断价值的重要信息。</p><p style="text-indent: 2em;">3.对心律失常进行定性定量分析：由于动态心电图所获得的心电信息量大，更能对所记录到的心律失常定性、定量，并观察其发生规律、发生频率以及与日常生活的关系；并根据发现的心律失常的性质及规律对临床的风险程度进行评估。</p><p style="text-indent: 2em;">4.对缺血性心脏病的诊断：动态心电图能长时间实时记录病人日常活动状态下的心电变化，不仅能显著提高心肌缺血的检出率，还能显示缺血发生的时段、持续时间、出现频率、缺血程度及其与日常活动、症状之间的关系，从而为缺血性心脏病的诊疗提供更全面、更切实可靠的客观依据。</p><p style="text-indent: 2em;">5.对疾病治疗效果的评定：对于临床诊断明确的病人，可根据其诊疗过程中动态心电图监测结果前后的对比，评定抗心律失常、抗心肌缺血药物的疗效；对植入永久起搏器的病人，动态心电图监测也可对起搏器性能及工作状态进行评估。（重庆康心医院供稿）</p> </div> </article>   <article class="boxpl">  <div id="hualong" sid="51166390"></div>  </article> <div class="downloadxcq"> <a href="https://web.archive.org/web/20210118140117/http://www.newchongqing.com/install/index.html?id=1"><img src="https://web.archive.org/web/20210118140117im_/http://i2.cqnews.net/www/xcqkhd.jpg"/></a> </div> </div> <script type="text/javascript"> common.mobile(); </script>   <link href="https://web.archive.org/web/20210118140117cs_/http://i2.cqnews.net/3c/142010.files/css5.css" rel="stylesheet" type="text/css"/> <script type="text/javascript" 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onclick="javascript:shareTo(this,'qzone',0);"><span>QQ空间</span></a> </dd> <dd class="qqim"> <a href="javascript:void()" onclick="javascript:shareTo(this,'qqim',0);"><span>QQ好友</span></a> </dd>  </dl> </div>    <div class="left_news">  <h1 style="margin-bottom: 20px; font-family: '微软雅黑'; font-size: 26px; line-height:50px; width:650px; text-align:center; font-weight:normal;"> “小盒子”，大应用！动态心电图那些事儿 </h1>   <div class="pl" style="border-bottom:1px solid #ededed; padding-bottom:10px"> <span class="jiange3"> 2020-11-29 07:05:00 </span> <span class="jiange3">来源： <script language="javascript"> var get_laiyuan = '<a href="" target="_blank">华龙网-新重庆客户端</a>';document.write(get_laiyuan);</script> </span> <span class="jiange3"><a href="#hualong"><em class="hl-cmt-totalcount yanse" style="font-style:normal;">0</em> 条评论</a></span> </div>     <div class="wenziduanluo"> <div id="main_text"> <p style="text-indent: 2em;">在现代医学检查中，心电图已经成为不可或缺的常规检查项目。通过心电图检查，医生能最快速的获得患者心律失常的类型、严<span style="text-indent: 2em;">重程度，并能间接了解到心肌的功能、肥厚程度、缺血状况等。但常规心电图往往有一个局限性，那就是检查时间太短。</span></p><p style="text-indent: 2em;">作为心电图医生，重庆康心医院心功能室主任罗昭林说在检查过程中经常会听见病人说“这会儿不难受了，刚刚难受的感觉已经过去了……”。若在短短的一分钟内，患者未发生病情，则无法捕捉到“阳性”症状。这也是为什么病人常自述不舒服，却得到一份“正常心电图”结果的原因。直到20世纪60年代，一项能长时间连续、动态记录心电图的技术应运而生——动态心电图（Holter心电图）。</p><p style="text-indent: 2em;"><strong>什么是动态心电图？</strong></p><p style="text-indent: 2em;">动态心电图是一套系统：包括有记录器、导联线、电极和数据回放处理系统，记录器是通过导联线与受检者体表相连的、随身携带的心电信息采集和存储设备。Holter心电图机就像是常规心电图仪器的迷你版，能随身携带，具有便捷、经济、无创等优点，其工作原理，甚至内部的电路和普通心电图机相比没有太大区别，仅是记录和输出方式不同。</p><p style="text-align: center"><img src="https://web.archive.org/web/20210118140117im_/http://i3.cqnews.net/health/2020-11/29/631906b9-3f40-4abf-b61a-1de27da440e7.jpg" style="max-width: 100%;"/></p><p style="text-align: center;"><span style="font-family: 楷体, 楷体_GB2312, SimKai;">记录仪、导联线和电极片。院方供图</span></p><p style="text-align: center"><img src="https://web.archive.org/web/20210118140117im_/http://i4.cqnews.net/health/2020-11/29/02464dec-da74-47b7-83a8-0263bd55003d.jpg" style="max-width: 100%;"/></p><p style="text-align: center;"><span style="font-family: 楷体, 楷体_GB2312, SimKai;">数据回放处理系统<span style="text-align: center;">。院方供图</span></span></p><p style="text-indent: 2em;">随着科学技术的发展，如今的动态心电图记录盒已越发小巧袖珍，在24小时连续记录盒的基础上，也出现了48小时乃至更长时间的连续佩戴记录盒。据罗昭林主任介绍，新型的记录盒具有更强的抗肌电和抗交流电干扰的功能，在体积小、耗电低、有记忆功能的优势上增加了时间的延续性，使得患者能在更长时间内获得有效的心电记录。</p><p style="text-indent: 2em;"><strong>动态心电图与一般的普通心电图有什么不同？</strong></p><p style="text-indent: 2em;">它可以连续不间断24小时，甚至更长时间监测记录受检者的日常生活和工作状态下的心电活动。一次完整的24小时动态心电记录可获得高达10万次左右的心电波，如果是采用常规普通心电图机记录下这10万次左右的心电波，所需记录纸可长达2.5公里。</p><p style="text-indent: 2em;">近年来由于数据存储技术的进步，可使得Holter记录盒采集到的心电波几乎不会被遗漏，并全部存储起来，然后传输到回放系统进行分析诊断，再将有价值的心电信息提供给临床医生。</p><p style="text-indent: 2em;"><strong>为什么要做动态心电图？</strong></p><p style="text-indent: 2em;">在就诊的过程里常有人对医生自述，自己偶尔或时常出现心慌、胸闷、胸痛、头昏、晕厥等疑似心脏疾病的症状，但每次的心电图检查却正常或仅有轻度异常，未提供有价值的诊断信息，临床医生就会让病人加做动态心电图检查，以获得更全面的心电记录。下面就简要介绍一下其主要应用，帮助大家了解为何在必要的情况下需要做动态心电图检查。</p><p style="text-indent: 2em;"><strong>动态心电图的主要应用</strong></p><p style="text-indent: 2em;">1.长时间记录心跳搏动：常规心电图记录时间短，而动态心电图是24小时或以上的实时监测记录，能把监测期间内的每一心跳搏动（不管是正常或异常）都记录下来，提供给心电图医生分析判断，最后将结果提供给临床医生为病人的疾病做出更准确的诊断。</p><p style="text-indent: 2em;">2.捕获偶发一过性、短阵的心电事件：在日常生活中部分人会出现一些一过性心电事件，如偶发、短阵心律失常（即心脏乱跳）或一过性心肌缺血，而常规心电图由于受记录时间和记录方式的限制，却很难捕捉到这些症状发作时的心电图。此时应用动态心电图能长时间记录的明显优势，通过动态心电图检查往往能获得对临床有诊断价值的重要信息。</p><p style="text-indent: 2em;">3.对心律失常进行定性定量分析：由于动态心电图所获得的心电信息量大，更能对所记录到的心律失常定性、定量，并观察其发生规律、发生频率以及与日常生活的关系；并根据发现的心律失常的性质及规律对临床的风险程度进行评估。</p><p style="text-indent: 2em;">4.对缺血性心脏病的诊断：动态心电图能长时间实时记录病人日常活动状态下的心电变化，不仅能显著提高心肌缺血的检出率，还能显示缺血发生的时段、持续时间、出现频率、缺血程度及其与日常活动、症状之间的关系，从而为缺血性心脏病的诊疗提供更全面、更切实可靠的客观依据。</p><p style="text-indent: 2em;">5.对疾病治疗效果的评定：对于临床诊断明确的病人，可根据其诊疗过程中动态心电图监测结果前后的对比，评定抗心律失常、抗心肌缺血药物的疗效；对植入永久起搏器的病人，动态心电图监测也可对起搏器性能及工作状态进行评估。（重庆康心医院供稿）</p> <div style="text-align: right;display:none;"><img src="https://web.archive.org/web/20210118140117im_/http://i1.cqnews.net/res/templateRes/201411/10/142010/142010/images/20181219-khd.jpg" style="display:block;width:150px;margin:0 auto; margin-top: 30px;"> <b style="display:block; clear:both; font-size:15px; text-align:left">亲爱的用户，“重庆”客户端现已正式改版升级为“新重庆”客户端。为不影响后续使用，请扫描上方二维码，及时下载新版本。更优质的内容，更便捷的体验，我们在“新重庆”等你！</b> </div> </div> </div> <script type="text/javascript" src="https://web.archive.org/web/20210118140117js_/http://i2.cqnews.net/js/includePages.js"></script> <script language="javascript"> //分页特效的JS代码 $("#displaypagenum span").each(function(){ if ($(this).text() == ""){$(this).hide()}; }); $("#displaypagenum .page-next2").parents("a").addClass("page-next"); $("#displaypagenum .page-prev2").parents("a").addClass("page-prev"); </script> <script> var 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