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目的探讨胸痛患者的心电图(ECG)变化特点及临床意义。方法回顾性分析375例胸痛患者常规12导联心电图。结果筛选出异常心电图252例,发生率67.2%,其中男性异常人数135例,发生率66.5%;女性117例,发生率68.02%。心电图异常随着年龄增长呈增加,年龄分段比较,差异有统计学意义(p<0.05)。心电图异常以原发性ST-T改变为多见,占24.0%,其次是心律失常。结论胸痛患者心电图异常存在年龄和性别差异,有助于指导胸痛患者的临床诊断和治疗,也可作为判断预后的一个指标。
Objective To investigate the characteristics and clinical significance of electrocardiogram (ECG) changes in patients with chest pain. Methods A retrospective analysis of 375 cases of chest pain in patients with conventional 12-lead ECG. Results 252 cases of abnormal electrocardiogram were selected, the incidence rate was 67.2%, of which 135 were males abnormal, the incidence rate was 66.5%; 117 females, the incidence rate was 68.02%. Electrocardiogram abnormalities increased with age, age, the difference was statistically significant (p <0.05). ECG abnormalities to primary ST-T changes were more common, accounting for 24.0%, followed by arrhythmia. Conclusion There are differences in age and gender in ECG abnormalities in patients with chest pain. It is helpful to guide the clinical diagnosis and treatment of patients with chest pain. It can also be used as an indicator of prognosis.