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目的:探讨动态心电图和常规心电图对于临床心脏病诊断的实际应用价值,以期为心脏病的临床诊断提供参考。方法:广州中医药大学附属新会中医院选择2014年5月至2015年5月就诊的心脏病患者160例,所有患者进行动态心电图和常规心电图检查,并对患者心电图结果记录并分析。结果:动态心电图组相比于常规心电图组对室上性心动过速、室上性期前收缩、室性心动过速、室性期前收缩、窦性心动过缓、窦性心动过速、窦房传导阻滞、窦性静止和缺血性ST-T异常等病症检出率更高,组间比较差异具有统计学意义(P<0.05);其中,61~70岁患者相比于其他年龄段对于室上性心动过速、窦性心动过速和窦房传导阻滞等三项检出率更高,差异具有统计学意义(P<0.05);另外,动态心电图组相比于常规心电图组诊断的阳性率要更高,组间比较,差异具有统计学意义(P<0.05)。结论:针对临床心脏病诊断,动态心电图相比于常规心电图对于心电异常检出率更高,阳性率更高。
Objective: To explore the practical value of Holter monitoring and conventional electrocardiogram in the diagnosis of clinical heart disease, in order to provide a reference for the clinical diagnosis of heart disease. Methods: Xinhui Hospital of TCM, affiliated to Guangzhou University of Chinese Medicine, selected 160 patients with heart disease from May 2014 to May 2015. All patients underwent dynamic electrocardiogram and routine electrocardiogram examination. The electrocardiogram results were recorded and analyzed. Results: Compared with the conventional electrocardiogram group in the Holter group, the effects of supraventricular tachycardia, supraventricular systole, ventricular tachycardia, premature ventricular contraction, sinus bradycardia, sinus tachycardia, Sinoatrial block, sinus static and ischemic ST-T abnormalities and other diseases detection rate was higher, the difference between the groups was statistically significant (P <0.05); of which, 61 to 70 years of patients compared to other Age for supraventricular tachycardia, sinus tachycardia and sinoatrial block and other three detection rate was higher, the difference was statistically significant (P <0.05); In addition, dynamic ECG compared with conventional The positive rate of ECG diagnosis was higher, the difference between groups was statistically significant (P <0.05). Conclusion: For the diagnosis of clinical heart disease, the dynamic electrocardiogram has a higher detection rate of ECG abnormalities and a higher positive rate than the conventional ECG.