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目的为了提高临床对ST段抬高型心肌梗死超急性期确诊率,分析和探讨心电图在诊断中应用价值和意义。方法从2013年6月—2015年6月就诊的ST段抬高型心肌梗死超急性期患者中选取48例作为研究对象并设为试验组,在同时间段采取同样的方法选取48例非ST段抬高型心肌梗死超急性期患者48例作为研究对象并设为对照组,入组的所有患者均给予心电图检测,比较2组心电图表现差异;计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果试验组室性心律失常发生率为58.3%;对照组室性心律失常发生率为95.8%;两组比较差异有统计学意义(χ~2=23.851,P<0.05)。结论将心电图检查应用到ST段抬高型心肌梗死超急性期患者的诊治过程中,特征明显,有助于为临床诊疗提供参考依据,值得推广和应用。
Objective To improve the clinical diagnosis of ST-segment elevation acute myocardial infarction, analyze and discuss the value and significance of ECG in the diagnosis. Methods From June 2013 to June 2015, 48 patients with hyperacute stage ST-segment elevation myocardial infarction were enrolled and divided into experimental group. During the same period, 48 non-ST 48 patients with hyperacute stage myocardial infarction were enrolled as the control group and all the patients were enrolled in the electrocardiogram examination. The differences of electrocardiogram between the two groups were compared. The count data were compared using Chi-square test (P <0.05) For the difference was statistically significant. Results The incidence of ventricular arrhythmia in experimental group was 58.3%. The incidence of ventricular arrhythmia in control group was 95.8%. There was significant difference between two groups (χ ~ 2 = 23.851, P <0.05). Conclusion The application of electrocardiogram in the diagnosis and treatment of patients with hyperacute stage ST-segment elevation myocardial infarction has obvious characteristics and is helpful to provide a reference for clinical diagnosis and treatment. It is worthy of popularization and application.