动态心电图结合常规心电图诊断冠心病患者心肌缺血及心律失常的临床观察(1)
【摘要】 目的：探讨动态心电图结合常规心电图对冠心病患者心肌缺血和心律失常的诊断价值。方法：选取2015年1-12月本院收治的冠心病患者84例。按照随机数字表法将其分为对照组和观察组，各42例。对照组使用常规心电图检查，观察组使用动态心电图结合常规心电图检查，观察两组心肌缺血与心律失常的诊断情况。结果：观察组心肌缺血阳性率为90.47%，明显高于对照组的52.38%，比较差异有统计学意义(字2=14.933，P=0.000)；观察组房性心律失常、室性心律失常、阵发性室性心动过速、房室传导阻滞检出率均高于对照组，比较差异均有统计学意义(P<0.05)。结论：采用动态心电图结合常规心电图对冠心病患者进行诊断，可提高心肌缺血和心律失常诊断的准确性，值得推广。
【关键词】 心电图； 冠心病； 心肌缺血； 心律失常
Clinical Observation of Dynamic Electrocardiogram Combined with Routine Electrocardiogram in Diagnosis of Myocardial Ischemia and Arrhythmia in Patients with Coronary Heart Disease/GAO Lingyan.//Medical Innovation of China，2018，15(12)：012-016
, 百拇医药
【Abstract】 Objective：To investigate the diagnostic value of dynamic electrocardiogram combined with routine electrocardiogram in myocardial ischemia and arrhythmia in patients with coronary heart disease.Method：A total of 84 patients with coronary heart disease admitted in our hospital from January to December 2015 were selected.According to the random number table method，they were divided into control group and observation group，42 cases in each group.The control group used routine electrocardiogram to diagnose myocardial ischemia and arrhythmia，and observation group was diagnosed by dynamic electrocardiogram combined with routine electrocardiogram.The positive rate of myocardial ischemia and the detection rate of arrhythmia between two groups were compared.Result：The positive rate of myocardial ischemia in observation group was 90.47%，which was significantly higher than 52.38% in control group(字2=14.933，P=0.000).The detection rates of atrial arrhythmia，ventricular arrhythmia，paroxysmal ventricular tachycardia and atrioventricular block in observation group were all higher than those of control group，the differences were statistically significant(P<0.05).Conclusion：Dynamic electrocardiogram combined with routine electrocardiogram in diagnosis of coronary heart disease can improve the accuracy of diagnosis of myocardial ischemia and arrhythmia，and is worthy of promotion.
, 百拇医药
【Key words】 Electrocardiogram； Coronary heart disease； Myocardial ischemia； Arrhythmia
First-author’s address：Hanyang Hospital Affiliated to Wuhan University of Science and Technology，Wuhan 430050，China
doi：10.3969/j.issn.1674-4985.2018.12.004
冠心病是最常見的临床疾病之一，随着年龄的增长，发病率也呈上升趋势，冠心病会加速机体的老化过程，该疾病的治疗引起医学界的广泛关注[1-3]。冠心病是由于患者冠状动脉硬化和血栓形成，导致动脉管腔狭窄甚至血管堵塞，造成患者心肌缺血与缺氧，已成为威胁人类生命安全的重大疾病[4-5]。冠心病患者主要的临床表现是不稳定型心绞痛、心律失常和心肌梗死，且易引发患者心力衰竭、猝死等并发症，严重威胁着患者的生命安全[6]。临床常用的诊断方法，即为常规心电图和动态心电图结合常规心电图检测，尽早诊断冠心病是临床治疗中的关键问题，本研究中患者采用的动态心电图结合常规心电图、常规心电图诊断冠心病的结果，发现动态心电图结合常规心电图对冠心病患者的检出率较高，现报道如下。, http://www.100md.com(高凌燕)
【关键词】 心电图； 冠心病； 心肌缺血； 心律失常
Clinical Observation of Dynamic Electrocardiogram Combined with Routine Electrocardiogram in Diagnosis of Myocardial Ischemia and Arrhythmia in Patients with Coronary Heart Disease/GAO Lingyan.//Medical Innovation of China，2018，15(12)：012-016
, 百拇医药
【Abstract】 Objective：To investigate the diagnostic value of dynamic electrocardiogram combined with routine electrocardiogram in myocardial ischemia and arrhythmia in patients with coronary heart disease.Method：A total of 84 patients with coronary heart disease admitted in our hospital from January to December 2015 were selected.According to the random number table method，they were divided into control group and observation group，42 cases in each group.The control group used routine electrocardiogram to diagnose myocardial ischemia and arrhythmia，and observation group was diagnosed by dynamic electrocardiogram combined with routine electrocardiogram.The positive rate of myocardial ischemia and the detection rate of arrhythmia between two groups were compared.Result：The positive rate of myocardial ischemia in observation group was 90.47%，which was significantly higher than 52.38% in control group(字2=14.933，P=0.000).The detection rates of atrial arrhythmia，ventricular arrhythmia，paroxysmal ventricular tachycardia and atrioventricular block in observation group were all higher than those of control group，the differences were statistically significant(P<0.05).Conclusion：Dynamic electrocardiogram combined with routine electrocardiogram in diagnosis of coronary heart disease can improve the accuracy of diagnosis of myocardial ischemia and arrhythmia，and is worthy of promotion.
, 百拇医药
【Key words】 Electrocardiogram； Coronary heart disease； Myocardial ischemia； Arrhythmia
First-author’s address：Hanyang Hospital Affiliated to Wuhan University of Science and Technology，Wuhan 430050，China
doi：10.3969/j.issn.1674-4985.2018.12.004
冠心病是最常見的临床疾病之一，随着年龄的增长，发病率也呈上升趋势，冠心病会加速机体的老化过程，该疾病的治疗引起医学界的广泛关注[1-3]。冠心病是由于患者冠状动脉硬化和血栓形成，导致动脉管腔狭窄甚至血管堵塞，造成患者心肌缺血与缺氧，已成为威胁人类生命安全的重大疾病[4-5]。冠心病患者主要的临床表现是不稳定型心绞痛、心律失常和心肌梗死，且易引发患者心力衰竭、猝死等并发症，严重威胁着患者的生命安全[6]。临床常用的诊断方法，即为常规心电图和动态心电图结合常规心电图检测，尽早诊断冠心病是临床治疗中的关键问题，本研究中患者采用的动态心电图结合常规心电图、常规心电图诊断冠心病的结果，发现动态心电图结合常规心电图对冠心病患者的检出率较高，现报道如下。, http://www.100md.com(高凌燕)