国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
21期
2604-2606
,共3页
无症状性心肌缺血%动态心电图%冠心病
無癥狀性心肌缺血%動態心電圖%冠心病
무증상성심기결혈%동태심전도%관심병
Silent myocardial ischemia%Dynamic electrocardiogram%Coronary artery disease
目的 探讨动态心电图(DCG)评价无症状性心肌缺血(SMI)的临床意义.方法 采用12导联DCG对2009年1月-2010年1月间在我院诊疗的冠心病患者60例进行检测,分析检测结果.结果 60例冠心病者检出缺血型ST-T变化者53例(88.33%),共155阵次.属SMI者115阵次(74.19%),有症状40阵次(25.81%).115阵次SMI中66阵次(57.39%)与轻微的体力劳动或脑力活动因素有关,49阵次在安静时出现(42.61%).115阵次SMI中在6:00～12:00发生者占42.61%,0:00～6:00发生者占12.17%,两者比较,差异具有统计学意义(P<0.05). SMI患者的ST段压低幅度、缺血持续时间与有症状心肌缺血患者比较差异无统计学意义(P>0.05).结论 动态心电图评价无症状性心肌缺血的临床意义重大,值得应用.
目的 探討動態心電圖(DCG)評價無癥狀性心肌缺血(SMI)的臨床意義.方法 採用12導聯DCG對2009年1月-2010年1月間在我院診療的冠心病患者60例進行檢測,分析檢測結果.結果 60例冠心病者檢齣缺血型ST-T變化者53例(88.33%),共155陣次.屬SMI者115陣次(74.19%),有癥狀40陣次(25.81%).115陣次SMI中66陣次(57.39%)與輕微的體力勞動或腦力活動因素有關,49陣次在安靜時齣現(42.61%).115陣次SMI中在6:00～12:00髮生者佔42.61%,0:00～6:00髮生者佔12.17%,兩者比較,差異具有統計學意義(P<0.05). SMI患者的ST段壓低幅度、缺血持續時間與有癥狀心肌缺血患者比較差異無統計學意義(P>0.05).結論 動態心電圖評價無癥狀性心肌缺血的臨床意義重大,值得應用.
목적 탐토동태심전도(DCG)평개무증상성심기결혈(SMI)적림상의의.방법 채용12도련DCG대2009년1월-2010년1월간재아원진료적관심병환자60례진행검측,분석검측결과.결과 60례관심병자검출결혈형ST-T변화자53례(88.33%),공155진차.속SMI자115진차(74.19%),유증상40진차(25.81%).115진차SMI중66진차(57.39%)여경미적체력노동혹뇌력활동인소유관,49진차재안정시출현(42.61%).115진차SMI중재6:00～12:00발생자점42.61%,0:00～6:00발생자점12.17%,량자비교,차이구유통계학의의(P<0.05). SMI환자적ST단압저폭도、결혈지속시간여유증상심기결혈환자비교차이무통계학의의(P>0.05).결론 동태심전도평개무증상성심기결혈적림상의의중대,치득응용.
Objective To explore the value of dynamic electrocardiogram ( DCG ) for assessing silent myocardial ischemia ( SMI ). Methods 60 patients with coronary artery diseases in our hospital from January 2009 to January 2010 were detected by DCG and the findings were analyzed. Results 53 of the 60 patients ( 88.33% ) had ST-T segment alteration, with 155 episodes. 115 ( 74.19% ) episodes occurred in those with SMI and 40 ( 25.81% ) in symptomatic patients. 66 ( 57.39% ) episodes of ST-T alteration were associated with slight physical labor and brain activity and 49 ( 42.61% )episodes developed at rest. 42.61% of SMI occurred from 6:00 to 12:00 and 12.17% from 0:00 to 6:00, and there was a significant difference ( P<0.05 ). The degree of ST-T depression and duration of ischemia did not differ significantly between the patients with SMI and those with symptons ( P> 0.05 ). Conclusions It is of great significance to dynamic electrocardiogram in the asseseement of silent myocardial ischemia and the procedure is worth being used widely.
