CAJ | 학술논문

目的探讨并比较常规心电图与动态心电图用于冠心病心律失常诊断的临床价值.方法选取冠心病患者73例,均行常规心电图与动态心电图监测,以常规心电图为对照组、动态心电图为观察组,比较两组冠心病心律失常检出阳性率及具体检出结果.结果观察组患者心律失常检测阳性率为75.3％,明显高于对照组的54.8％(x2=6.78,P＜0.05)；观察组室性期前收缩二、三联律,室性期前收缩成对,房性期前收缩二、三联律,房性期前收缩成对,房室传导阻滞及短阵室上速等检出阳性率明显高于对照组(均P＜0.05).结论与常规心电图相比,动态心电图对于冠心病心律失常临床检出阳性率高.
목적 탐토병비교상규심전도여동태심전도용우관심병심률실상진단적림상개치.방 법 선취관심병환자73례,균행상규심전도여동태심전도감측,이상규심전도위대조조、동태심전도위관찰조,비교량조관심병심률실상검출양성솔급구체검출결과.결과 관찰조환자심률실상검측양성솔위75.3％,명현고우대조조적54.8％(x2=6.78,P＜0.05)；관찰조실성기전수축이、삼련률,실성기전수축성대,방성기전수축이、삼련률,방성기전수축성대,방실전도조체급단진실상속등검출양성솔명현고우대조조(균P＜0.05).결론 여상규심전도상비,동태심전도대우관심병심률실상림상검출양성솔고.
Objective To investigate and compare the clinical values of routine electrocardiogram and dynamic electrocardiogram in arrhythmia in coronary heart disease diagnosis.Methods 73 patients with coronary heart disease were collected and monitored by routine electrocardiogram and dynamic electrocardiogram,and two groups were e stablished including control group using routine electrocardiogram and observation group using dynamic electrocardiogram.The positive diagnosis rate and the specific diagnosis diresults of arrhythmia in coronary heart disease of both groups were compared.Results The positive diagnosis rate of arrhythmia in coronary heart disease of observation group(75.3％ ) was significantly higher than that of control group(54.8％ ) ( x2 =6.78,P ＜0.05).And the positive diagnosis rate of the observation group was also significantly higher than that of the control group in ventricular premature beats two,triple law,pairs of premature ventricular contractions,atrial premature beats two,triple law,atrial premature beats in pairs,atrioventricular block and paroxysmal ventricular tachycardia( all P ＜ 0.05 ).Conclusion Compared with routine electrocardiogram,the dynamic electrocardiogram in anrnythmia in coronary heart disease diagnosis could obtain higher positive diagnosis rate,and it is worthy of clinical application.