摘要
目的比较冠心病合并焦虑抑郁患者与单纯冠心病患者的动态心电图结果。方法选择2017年1月-2018年6月在淄博市第五人民医院特检科接受动态心电图检查的冠心病合并焦虑抑郁患者60例设为研究组,选择同期接受动态心电图检查的单纯冠心病患者60例设为对照组,比较两组患者动态心电图检查结果。结果研究组患者房室早搏检出率为63.33%,室性早搏检出率为51.67%,心房纤颤检出率为38.33%,短阵房性心动过速检出率为30.00%,房室传导阻滞检出率为28.33%,均明显高于对照组33.33%、23.33%、16.67%、13.33%、8.33%,差异有统计学意义(χ^2=10.812,10.276,7.064,4.910,8.015,P<0.05)。结论与单纯冠心病患者相比,冠心病合并焦虑抑郁患者多伴有心律失常症状,临床中可结合动态心电图进行观察诊断,以及早发现心律失常并及时治疗。
Objective To compare the results of dynamic electrocardiogram in patients with coronary heart disease complicated with anxiety and depression and patients with coronary heart disease alone. Methods Sixty patients with coronary heart disease and anxiety and depression who underwent dynamic electrocardiography in the Special Inspection Department of the Fifth People’s Hospital of Zibo City from January 2017 to June 2018 were selected as the research group. The patients who underwent dynamic electrocardiography for the same period were selected. Sixty patients were selected as the control group, and the results of dynamic electrocardiogram were compared between the two groups. Results The detection rate of premature beats in the research group was 63.33%, the detection rate of ventricular premature beats was 51.67%, the detection rate of atrial fibrillation was 38.33%, and the detection rate of short-term a-trial tachycardia was 30.00%. The detection rate of ventricular block was 28.33%, which was significantly higher than that of the con-trol group(33.33%, 23.33%, 16.67%, 13.33%, 8.33%). The difference was statistically significant(χ^2=10.812, 10.276, 7.064, 4.910,8.015, P<0.05). Conclusion Compared with patients with coronary heart disease alone, patients with coronary heart disease and anxiety and depression are often associated with arrhythmia symptoms. Clinical observation can be combined with dynamic electrocardiogram for early diagnosis and early detection of arrhythmia and timely treatment.
作者
李锋
LI Feng(Special Inspection Department, the Fifth People's Hospital of Zibo City, Zibo, Shandong Province, 255100 China)
出处
《世界复合医学》
2019年第6期64-66,共3页
World Journal of Complex Medicine
关键词
冠心病
焦虑抑郁
心律失常
动态心电图
Coronary heart disease
Anxiety and depression
Arrhythmia
Dynamic electrocardiogram
