论文部分内容阅读
目的分析医学毕业生心电图异常情况,探讨其临床意义。方法分析390例医学毕业生的心电图资料,对异常者给予24h动态心电图(DCG)复查,且进行初复查结果对比。结果入院招收毕业生心电图异常率为22.8%,初检异常率分别为窦性心动过缓30.3%、窦性心动过速28.2%、各种期前收缩21.3%、ST-T改变13.5%、传导异常6.7%。复查后异常23例,占初检异常人数的25.8%,初复查心电图异常发生率比较,差异均有统计学意义(P<0.05)。结论医学毕业生入院体检的心电图异常多为生理性反应,多与自主神经功能调节相关,DCG是一种体检心电图异常者效价比较好的临床复查工具。
Objective To analyze the abnormal situation of electrocardiogram in medical graduates and to explore its clinical significance. Methods The electrocardiogram data of 390 medical graduates were analyzed. The patients underwent 24-hour ambulatory electrocardiogram (DCG) reexamination and the results of initial review were compared. Results The abnormal rate of admission electrocardiogram was 22.8%. The rates of abnormalities were 30.3% for sinus bradycardia, 28.2% for sinus tachycardia, 21.3% for various periods, 13.5% for ST-T changes, and conduction Abnormal 6.7%. After the review, 23 cases were abnormal, accounting for 25.8% of the initial number of abnormalities. The incidence of abnormal electrocardiogram in the initial review was statistically significant (P <0.05). Conclusion The abnormal ECG of medical graduates admitted to the hospital for physical examination is mostly physiological reaction, which is mostly related to the autonomic nervous system function adjustment. DCG is a clinical review tool with better valence of physical examination ECG abnormalities.