摘要
目的探讨动态心电图在冠心病诊断中的价值。方法收集2012年6月—2014年12月在该院住院治疗的74例冠心病患者,均采用常规心电图和动态心电图检查。对常规心电图和动态心电图对心肌缺血和心律失常的诊断阳性率进行对比分析。结果动态心电图检查对心肌缺血的诊断阳性率明显高于常规心电图(P<0.05)。对房性早搏二/三联、房性早搏成对、室性早搏二/三联、室性早搏成对及短阵室传导阻滞的诊断阳性率明显高于常规心电图(P<0.05),但对房性早搏早发、房室传导阻滞的诊断阳性率差异无统计学意义(P>0.05)。结论与常规心电图相比,动态心电图也属于无创检查,但其也是一种持续性和动态性检查手段,可较全面的反映冠心病患者的心肌缺血状况,而且也能有效的对患者发生心律失常进行诊断,同时操作具有可重复性,在冠心病患者心肌缺血及心律失常的诊断中具有较高的临床应用价值。
Objective To discuss the value of dynamic electrocardiogram in diagnosis of coronary heart disease. Methods74 cases of inpatients treated in our hospital from June 2012 to December 2014 were collected and were given conventional electrocardiogram examination and dynamic electrocardiogram examination, the positive rates of conventional electrocardiogram and dynamic electrocardiogram in diagnosis of ischemia myocardial and arrhythmia were compared and analyzed. Results The positive rate of dynamic electrocardiogram in diagnosis of ischemia myocardial was obviously higher than that of conventional electrocardiogram（P〈0.05）, the positive rates of dynamic electrocardiogram in diagnosis of atrial premature beats of bigeminy/ trigeminy, paired atrial premature beats, ventricular premature beats of bigeminy/ trigeminy, paired entricular premature beats and non-sustained ventricular block were obviously higher than those of conventional electrocardiogram（P〈0.05）, but there was no statistical difference in the positive rate of dynamic electrocardiogram and conventional electrocardiogram in diagnosis of ventricular premature beats and atrioventricular block（P〈0.05）. Conclusion Compared with the conventional electrocardiogram, the dynamic electrocardiogram belongs to the non-invasive detection, and it is a continuous and dynamic detection means, and it can not only comprehensively reflect the condition of myocardial ischemia in patients with coronary heart disease but can effectively diagnose the arrhythmia in patients, at the same time, the operation has repeatability, which is of higher clinical application value in diagnosis of ischemia myocardial and arrhythmia in patients with coronary heart disease.
出处
《中外医疗》
2016年第8期173-174,182,共3页
China & Foreign Medical Treatment
关键词
动态心电图
常规心电图
冠心病
Dynamic electrocardiogram
Conventional electrocardiogram
Coronary heart disease
