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目的:对心电图及超声心动图在老年急性缺血性脑血管病中的临床应用意义。方法:选取我院于2014年6月至2015年6月收取的120例老年急性缺血性脑血管疾病患者作为研究对象,并选取同期120例非缺血性脑血管患者作为对照,将前者分为观察组,后者分为对照组,给予两组患者心电图及超声心动图临床检查,对比分析两组患者的检查结果。结果:经统计发现,观察组患者的异常率达到74.2%,显著高于对照组,在其他指标方面同样具有显著性差异(P<0.05)。观察组共有87例患者(72.5%)超声心动图异常,且主要表现在患者左心房,如左房增大、心脏功能衰退、心脏室臂运动异常、左室肥厚以及瓣膜异常等等。观察组并发症发生率达到34.2%(41/120),主要临床并发症为冠心病、高血压性心脏病、心肌梗死、风湿性心脏病等等,相比对照组明显高(P<0.05)。观察组左室射血功能正常的患者(38例),也即LVEF≥55%,心电图异常发生率为9.2%(11/120),显著低于对照组左室射血功能正常的患者(82例),也即LVEF<55%,心电图异常发生率为68.3%,两组差异显著(P<0.05),具有统计学意义。结论:心电图及超声心动图在老年缺血性脑血管疾病诊断中表出现较强的准确性、有效性,能够为患者的临床治疗提供最佳的依据,因此,在临床买践中具有非常重要的意义。
Objective: To evaluate the clinical significance of electrocardiogram and echocardiography in senile patients with acute ischemic cerebrovascular disease. Methods: A total of 120 elderly patients with acute ischemic cerebrovascular disease collected in our hospital from June 2014 to June 2015 were selected as the research subjects. 120 patients with non-ischemic cerebrovascular disease were selected as controls. For the observation group, the latter divided into control group, given two groups of patients with ECG and echocardiography clinical examination, comparative analysis of two groups of patients examination results. Results: According to the statistics, the abnormal rate in the observation group reached 74.2%, which was significantly higher than that in the control group. There was also significant difference in other indexes (P <0.05). Echocardiographic abnormalities were observed in 87 patients (72.5%) in the observation group and were mainly manifested in patients with left atrium, such as enlarged left atrium, impaired cardiac function, abnormal cardiac chamber arm movement, left ventricular hypertrophy and valvular abnormalities. The incidence of complications in the observation group was 34.2% (41/120). The main clinical complications were coronary heart disease, hypertensive heart disease, myocardial infarction, rheumatic heart disease and so on, which were significantly higher than those in the control group (P <0.05) . In the observation group, the patients with normal left ventricular ejection function (38 cases), that is, LVEF≥55%, the abnormal ECG rate was 9.2% (11/120), which was significantly lower than that in the control group Cases), that is, LVEF <55%, the incidence of abnormal ECG was 68.3%, significant difference between the two groups (P <0.05), with statistical significance. Conclusion: ECG and echocardiography in the diagnosis of senile ischemic cerebrovascular disease showed strong accuracy, effectiveness, can provide the best basis for the clinical treatment of patients, therefore, in clinical practice is very important Meaning.