摘要
分析采取心电图诊断高钾血症的价值。选取贵州省黔南州人民医院2022年1月—2023年3月收治的100例高钾血症患者为研究对象,根据血清钾浓度的不同将患者分为对照组、观察组,每组各50例。所有患者均接受心电图诊断,评价不同患者的疾病诊断效果。结果显示,对照组心电图异常者有20例,符合率为40%,主要表现为双支对称,高尖T波,基底部狭窄,有帐篷状表现。观察组心电图异常者有40例,符合率为80%,检查表现除上述之外,患者P波时间、QRS波群、P-P间期相对增加,ST段压降低,血清钾浓度超过水平线标准8 mmo1/L,P波随之消失,也会出现窦室传导阻滞,伴随血清钾浓度水平持续增高,QRS波群速度对比之前减慢,QRS波群时间宽度逐渐增加。与此同时,T波显现正弦曲线。两组患者的诊断符合率无统计学差异(P>0.05)。肾衰在心电图诊断中呈现出较高的高钾血症符合率,糖尿病、低钙、高磷血症等疾病在心电图诊断中的总体符合率低。研究发现,随着血清钾浓度水平增高,心电图检查结果也会发生变化,肾衰竭患者接受心电图、血钾诊断可提升诊断符合率,心电图诊断模式更为直接,具有临床应用价值。
Analyze the value of electrocardiogram diagnosis for hyperkalemia.100 patients with hyperkalemia admitted to The People’s Hospital of Qiannan from January 2022 to March 2023 were selected as the research subjects.According to different serum potassium concentrations,the patients were divided into a control group and an observation group,with 50 cases in each group.All patients underwent electrocardiogram diagnosis to evaluate the diagnostic efficacy of different diseases in different patients.The results showed that there were 20 cases of abnormal electrocardiogram in the control group,with a compliance rate of 40%.The main abnormalities were bilateral symmetry,high sharp T waves,narrow base,and tent like appearance.There were 40 cases of abnormal electrocardiogram in the observation group,with a compliance rate of 80%.In addition to the above,the examination showed that the P-wave time,QRS wave group,and P-P interval of the patients increased relatively,ST segment pressure decreased,serum potassium concentration exceeded the horizontal standard by 8 mmo1/L,P-wave disappeared,and sinus ventricular block also occurred.Along with the continuous increase of serum potassium concentration,the QRS wave group velocity slowed down compared to before,and the QRS wave group time width gradually increased.At the same time,the T-wave exhibits a sinusoidal curve.There was no statistically significant difference in the diagnostic accuracy between the two groups of patients.Renal failure showed a high coincidence rate of hyperkalemia in ECG diagnosis,while the overall coincidence rate of diabetes,hypocalcemia,hyperphosphatemia and other diseases in ECG diagnosis was low.Research has found that as the serum potassium concentration level increases,the results of electrocardiogram examination will also change.Patients with renal failure who receive electrocardiogram and blood potassium diagnosis can improve the compliance rate of the disease.The electrocardiogram diagnostic mode is more direct and has clinical application value.
作者
张元娟
Zhang Yuanjuan(The People’s Hospital of Qiannan,Duyun,Guizhou 558000)
出处
《科技与健康》
2024年第10期17-20,共4页
Technology and Health
关键词
心电图
高钾血症
临床诊断
electrocardiogram
hyperkalemia
clinical diagnosis
