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目的:探讨高血压患者心电图ST-T改变对冠心病的诊断价值,以供临床参考。方法:对我院2009年2月—2011年2月收治的130例高血压伴有胸痛的患者随机分为两组。所有患者均给予心电图监测和冠状动脉造影。将患者ST-T表现动态变化结果与冠状动脉造影相对比,并将结果进行统计学分析。结果:出现ST-T动态变化的患者组,其冠状动脉造影结果阳性率更高,与ST-T无动态变化组患者比较,P<0.05,差异有统计学意义。结论:通过心电图ST-T改变对高血压患者冠心病诊断具有较好的临床意义,值得在临床推广使用。
Objective: To investigate the diagnostic value of ECG ST-T changes on coronary heart disease in hypertensive patients for clinical reference. Methods: A total of 130 hypertensive patients with chest pain admitted to our hospital from February 2009 to February 2011 were randomly divided into two groups. All patients were given ECG monitoring and coronary angiography. The results of dynamic changes of ST-T in patients were compared with coronary angiography, and the results were statistically analyzed. Results: The positive rate of coronary angiography in patients with ST-T dynamic changes was higher than that in patients without ST-T dynamic change (P <0.05), the difference was statistically significant. Conclusion: ST-T ECG changes have a good clinical significance in the diagnosis of coronary heart disease in hypertensive patients, and are worth popularizing in clinic.