中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2014年
7期
907-908,912
,共3页
儿童%黏膜皮肤淋巴结综合征/并发症%黏膜皮肤淋巴结综合征/诊断%冠状动脉疾病/诊断%冠状动脉疾病/病因学%心电描记术,便携式
兒童%黏膜皮膚淋巴結綜閤徵/併髮癥%黏膜皮膚淋巴結綜閤徵/診斷%冠狀動脈疾病/診斷%冠狀動脈疾病/病因學%心電描記術,便攜式
인동%점막피부림파결종합정/병발증%점막피부림파결종합정/진단%관상동맥질병/진단%관상동맥질병/병인학%심전묘기술,편휴식
Child%Mucocutaneous lymph node syndrome/complications%Mucocutaneous lymph node syndrome/diagnosis%Coronary artery disease/diagnosis%Coronary artery disease/etiology%Electrocardiography,ambulatory
目的:探讨动态心电图在川崎病患儿并发冠状动脉损伤诊断的临床价值。方法将本院收治的125例川崎病患儿按超声心动图是否诊断冠脉损伤分两组,无冠脉损伤为对照组(83例),有冠脉损伤为观察组(42例),均行动态心电图与普通心电图检查,分析两组患儿心率、心律及电压改变。结果对照组患儿常规心电图及动态心电图检查总异常率均低于观察组( P <0.01),对照组患儿常规心电图与动态心电图检查总异常率比较差异无统计学意义( P >0.05),但观察组动态心电图检查总异常率高于常规心电图检查(χ2=15.30, P <0.01);普通心电图检查、动态心电图检查及联合心电图检查诊断冠脉损伤的敏感度、特异度、Youden 指数及诊断符合率分别为59.5%、86.7%、0.463、77.6%;95.2%、94.0%、0.892、94.4%;95.2%、84.3%、0.796、88.0%。普通心电图检查结果均低于动态心电图和联合心电图检查( P <0.05),但动态心电图检查与联合心电图检查结果相似( P >0.05)。结论动态心电图检查能为川崎病患儿冠脉损伤提供科学参数,则优于普通心电图检查方法,但两种心电图联合检查与动态心电图诊断冠脉损伤的价值相同。
目的:探討動態心電圖在川崎病患兒併髮冠狀動脈損傷診斷的臨床價值。方法將本院收治的125例川崎病患兒按超聲心動圖是否診斷冠脈損傷分兩組,無冠脈損傷為對照組(83例),有冠脈損傷為觀察組(42例),均行動態心電圖與普通心電圖檢查,分析兩組患兒心率、心律及電壓改變。結果對照組患兒常規心電圖及動態心電圖檢查總異常率均低于觀察組( P <0.01),對照組患兒常規心電圖與動態心電圖檢查總異常率比較差異無統計學意義( P >0.05),但觀察組動態心電圖檢查總異常率高于常規心電圖檢查(χ2=15.30, P <0.01);普通心電圖檢查、動態心電圖檢查及聯閤心電圖檢查診斷冠脈損傷的敏感度、特異度、Youden 指數及診斷符閤率分彆為59.5%、86.7%、0.463、77.6%;95.2%、94.0%、0.892、94.4%;95.2%、84.3%、0.796、88.0%。普通心電圖檢查結果均低于動態心電圖和聯閤心電圖檢查( P <0.05),但動態心電圖檢查與聯閤心電圖檢查結果相似( P >0.05)。結論動態心電圖檢查能為川崎病患兒冠脈損傷提供科學參數,則優于普通心電圖檢查方法,但兩種心電圖聯閤檢查與動態心電圖診斷冠脈損傷的價值相同。
목적:탐토동태심전도재천기병환인병발관상동맥손상진단적림상개치。방법장본원수치적125례천기병환인안초성심동도시부진단관맥손상분량조,무관맥손상위대조조(83례),유관맥손상위관찰조(42례),균행동태심전도여보통심전도검사,분석량조환인심솔、심률급전압개변。결과대조조환인상규심전도급동태심전도검사총이상솔균저우관찰조( P <0.01),대조조환인상규심전도여동태심전도검사총이상솔비교차이무통계학의의( P >0.05),단관찰조동태심전도검사총이상솔고우상규심전도검사(χ2=15.30, P <0.01);보통심전도검사、동태심전도검사급연합심전도검사진단관맥손상적민감도、특이도、Youden 지수급진단부합솔분별위59.5%、86.7%、0.463、77.6%;95.2%、94.0%、0.892、94.4%;95.2%、84.3%、0.796、88.0%。보통심전도검사결과균저우동태심전도화연합심전도검사( P <0.05),단동태심전도검사여연합심전도검사결과상사( P >0.05)。결론동태심전도검사능위천기병환인관맥손상제공과학삼수,칙우우보통심전도검사방법,단량충심전도연합검사여동태심전도진단관맥손상적개치상동。
Objective To explore the clinical value of dynamic electrocardiogram ( DCG) in the diagnosis of coronary artery damage (CAD) in children with Kawasaki disease (KD).Methods A total of 125 cases of children with KD admitted to hospital in recent years was analyzed , without CAD as the control group (83cases), and others as the experimental group (42cases).All cases were undertaken DCG and electrocardiogram (ECG).The results of heart rate, heart Rhythm, and voltage changes were compared be-tween two groups .Results The abnormal rate of total ECG and DCG in the control group was significantly lower than the experimental group ( P <0.01 ) , The total ECG and DCG abnormal rate was no difference in control group ( P >0.05 ) , but DCG abnormal rate of experimental group was significantly lower than ECG (χ2 =15.30, P <0.01).The sensitivity, specificity, Youden index, and diag-nostic accuracy of normal ECG , DCG and Joint were 59.5%, 86.7%, 0.463 , and 77.6%;95.2%, 94.0%, 0.892 , and 94.4 %;95.2%, 84.3%, 0.796 , and 88.0%.Common ECG results were lower than DCG and joint ( P <0.05 ) , But DCG results were sim-ilar with the joint ( P >0.05 ) .Conclusions DCG test provides scientific parameter in the diagnosis of CAD in children with KD , and is superior to normal ECG , but the value of Joint is the same .