摘要
目的探讨通过心电图对高血压性心脏病进行诊断的临床价值。方法随机选取该院2015年1月—2018年3月收治的高血压性心脏病患者82例,依据诊断方式差异分作两组,41例通过心电图展开诊断为心电组,41例于心电图诊断的同时予以超声诊断者为联合组,回顾性对比分析两组诊断过程与结果。结果联合组阳性率是97.56%,较心电组的82.93%高(χ~2=4.986,P=0.026);联合组对左房增大、左室肥厚、主动脉扩张、主动脉弹性减退、心律失常、ST-T改变的检出率均较心电组高(χ~2=4.969、4.232、6.455、3.989、4.100、5.891,P=0.026、0.039、0.011、0.046、0.043、0.015)。结论对于高血压性心脏病,通过心电图展开诊断效果理想,但于心电图检查结果上予以超声检查可使阳性检出率得以提升,进而达到提升确诊率的效果。
Objective To investigate the clinical value of electrocardiogram in the diagnosis of hypertensive heart disease. Methods A total of 82 patients with hypertensive heart disease admitted to the hospital from January 2015 to March 2018 were randomly selected. The diagnosis was divided into two groups according to the difference of diagnosis methods. 41 cases were diagnosed as ECG by electrocardiogram and 41 cases were diagnosed by electrocardiogram. At the same time, the ultrasound diagnosis was performed in the combined group, and the diagnostic process and resuhs were analyzed retro- spectively. Results The positive rate of the combined group was 97.56%, which was higher than that of the ECG group （82.93%） （χ^2=4.986, P=0.026）. The combined group had enlargement of the left atrium, left ventricular hypertrophy, aortic dilatation, aortic degeneration, and arrhythmia. The detection rate of ST-T changes was higher than that of ECG （χ^2=4.969, 4.232, 6.455, 3.989, 4.100, 5.891, P=0.026, 0.039, 0.011, 0.046, 0.043, 0.015）. Conclusion For hypertensive heart disease, the diagnosis by the electrocardiogram is ideal, but the ultrasound examination on the ECG results can improve the positive detection rate, and thus improve the diagnosis rate.
作者
袁燕勤
YUAN Yan-qin(Electrocardiogram Room,Qidong Traditional Chinese Medicine Hospital,Qidong,Jiangsu Province,226200 China)
出处
《中外医疗》
2018年第26期186-187,190,共3页
China & Foreign Medical Treatment
关键词
心电图
高血压性心脏病
诊断
效果
Electrocardiogram
Hypertensive heart disease
Diagnosis
Effect
