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目的 :本文主要是探讨和分析急性心肌梗死合并束支阻滞的心电图诊断方法和结果。方法 :选择2014年11月到2015年11月来我院接受治疗的急性心肌梗死合并束支阻滞的100患者临床资料作为研究对象,在同样进行心电图诊断的基础上,结合不同的诊断方法将其分为观察组和对照组,每组患者有50例,对照组患者接受传统的方法加以诊断,观察组患者使用Sgarbossa心电图诊断,对两种不同诊断方案下急性心肌梗死合并束支阻滞中的特异性、敏感性、阳性和隐性预测率进行比较。结果 :经过系统的诊断之后,对照组患者的敏感、特异、阳性以及隐性预测率分别为77.2%、78.5%、22.71%以及45.5%;观察组患者的对应指标分别为55.3%、97.6%、32.5%以及45.2%。两组患者差异较较为明显(P<0.05),具有统计学意义。结论 :心电图运用在急性心肌梗死合并束支阻滞患者加以诊断时,可以将Sgarbossa加以结合,从而不断提升诊断的敏感性以及正确性,降低误诊、漏诊现象的出现,在今后的临床诊断活动中值得进行使用和推广。
Objective: This article is mainly to explore and analyze the diagnosis of acute myocardial infarction with bundle branch block ECG methods and results. Methods: The clinical data of 100 patients with acute myocardial infarction complicated with bundle branch block who came to our hospital from November 2014 to November 2015 were selected as the research object. On the basis of the same ECG diagnosis, combined with different diagnostic methods Which divided into observation group and control group, 50 patients in each group, the control group patients to be diagnosed by traditional methods, the observation group patients using Sgarbossa ECG diagnosis of two different diagnostic programs in acute myocardial infarction with bundle branch block The specificity, sensitivity, positive and recessive rates were compared. Results: After systematic diagnosis, the sensitivity, specificity, positive and recessive rates of the control group patients were 77.2%, 78.5%, 22.71% and 45.5% respectively. The corresponding indexes in the observation group were 55.3% and 97.6% 32.5% and 45.2%. The difference between the two groups was more obvious (P <0.05), with statistical significance. CONCLUSIONS: When ECG is used to diagnose acute myocardial infarction complicated with bundle branch block, Sgarbossa can be combined to improve the sensitivity and correctness of diagnosis and reduce the occurrence of misdiagnosis and missed diagnosis. In the future clinical diagnosis activities Worth to use and promote.