【摘要】 目的 探讨动态心电图与常规心电图在大学生心律失常检查中的应用效果。方法 回顾性分析2011年9月—2024年9月因心脏不适等症状至华北电力大学医院就诊的812名在校大学生的临床资料。所有学生均接受常规心电图和动态心电图检查，并分析两种检查方式对心律失常的检查效果。结果 动态心电图异常检出率为59.98%(487/812)，常规心电图异常检出率为25.49%(207/812)，动态心电图异常检出率高于常规心电图(P<0.05)。动态心电图间歇性预激综合征、短P-R综合征、间歇性右束支传导阻滞、频发房性早搏、偶发房性早搏、频发室性早搏、偶发室性早搏、短阵房速、室上速、Ⅱ度房室传导阻滞、窦房传导阻滞和阵发性房颤检出率高于常规心电图(P<0.05)；两组早期复极综合征、预激综合征、右束支传导阻滞和Ⅰ度房室传导阻滞检出率比较，差异无统计学意义(P>0.05)。男性动态心电图和常规心电图异常检出率均高于女性，超重或肥胖学生异常检出率均高于体重正常学生(P<0.05)；两组不同年龄动态心电图和常规心电图异常检出率比较，差异均无统计学意义(P>0.05)。结论 动态心电图具有较高的心律失常异常检出率，能够为临床治疗提供科学、可靠的依据，且具有多项优势。更多还原

【Abstract】 Objective To explore the application effect of dynamic electrocardiogram and routine electrocardiogram in the examination of arrhythmia in college students. Methods The clinical data of 812 college students who visited the North China Electric Power University Hospital due to heart discomfort and other symptoms from September 2011 to September 2024 were retrospectively analyzed. All students received routine electrocardiogram and dynamic electrocardiogram examination, and the effects of the two examination methods on arrhythmia were analyzed. Results The abnormal detection rate of dynamic electrocardiogram was 59.98%(487/812), and the abnormal detection rate of routine electrocardiogram was 25.49%(207/812). The abnormal detection rate of dynamic electrocardiogram was higher than that of routine electrocardiogram(P < 0.05). The detection rates of intermittent preexcitation syndrome, short P-R syndrome, intermittent right bundle branch block, frequent atrial premature beats, occasional atrial premature beats, frequent ventricular premature beats, occasional ventricular premature beats, short atrial tachycardia,supraventricular tachycardia, Ⅱ degree atrioventricular block, sinoatrial block and paroxysmal atrial fibrillation in dynamic electrocardiogram were higher than those in routine electrocardiogram(P < 0.05). There was no significant difference in the detection rates of early repolarization syndrome, preexcitation syndrome, right bundle branch block and I degree atrioventricular block between the two groups(P > 0.05). The abnormal detection rates of dynamic electrocardiogram and routine electrocardiogram in males were higher than those in females, and the abnormal detection rates of overweight or obese students were higher than those of normal weight students(P < 0.05). There was no significant difference in the detection rate of abnormal dynamic electrocardiogram and routine electrocardiogram between the two groups at different ages(P > 0.05). Conclusions The dynamic electrocardiogram has a high detection rate of arrhythmia abnormalities, which can provide a scientific and reliable basis for clinical treatment, and has many advantages.更多还原