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简介：【摘要】目的 研究步长稳心颗粒治疗心律失常的临床效果。方法 将本院2019年10月-2020年9月期间所收治的80例患者作为此次研究对象，按照随机颜色球抽取法将所有患者均分为对照组和观察组两组，各40例。观察组患者给予步长稳心颗粒治疗，对照组患者给予常规治疗，比对两组患者的临床治疗效果和并发症情况。结果 观察组患者在经过治疗后，总有效率为97.5%明显高于对照组的77.5% ；在不良反应率上，前者为5%显著低于后者的25%，组间比较差异性明显（P

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简介：　　【摘要】 目的 分析常规心电图与动态心电图诊断冠心病伴心律失常患者的临床价值。方法 60例冠心病伴心律失常患者， 先进行常规心电图检查， 再进行动态心电图检查。观察比较患者常规心电图、动态心电图诊断检出率， 并统计异常心电监测检出情况。结果 60例患者常规心电图检出冠心病伴心律失常 34例， 检出率为 56.67%;动态心电图检出冠心病伴心律失常 55例， 检出率为 91.67%。动态心电图检出率显著高于常规心电图， 差异具有统计学意义（ P<0.05）。动态心电图检查室性早搏， 房性早搏， 室性早搏成对， 房室传导阻滞， 短阵室上速， 室性早搏二、三联律及房性早搏二、三联律检出率均显著高于常规心电图， 差异具有统计学意义（ P<0.05）。结论 动态心电图对冠心病伴心律失常及相关异常心电的诊断效果较好， 显著优于常规心电图， 可为该疾病诊断提供重要参考依据。  　　【关键词】 常规心电图 ;动态心电图 ;冠心病 ;心律失常 ;诊断价值 ;异常心电  　 [Abstract] Objective To analyze the clinical value of routine electrocardiogram and dynamic electrocardiogram in the diagnosis of coronary heart disease with arrhythmia. Methods 60 patients with coronary heart disease and arrhythmia were examined by routine electrocardiogram and then by dynamic electrocardiogram. The detection rate of routine ECG and Holter was observed and compared, and the detection rate of abnormal ECG was counted. Results 34 cases of coronary heart disease with arrhythmia were detected by routine ECG, the detection rate was 56.67%; 55 cases of coronary heart disease with arrhythmia were detected by dynamic electrocardiogram, the detection rate was 91.67%. The detection rate of Holter was significantly higher than that of routine ECG (P < 0.05). The detection rates of ventricular premature beat, atrial premature beat, pairs of ventricular premature beats, atrioventricular block, short supraventricular tachycardia, two and three laws of ventricular premature beat and atrial premature beat were significantly higher than those of routine electrocardiogram (P < 0.05). Conclusion dynamic electrocardiogram has a good effect in the diagnosis of coronary heart disease with arrhythmia and related abnormal ECG, which is significantly better than conventional ECG, and can provide important reference for the diagnosis of the disease.