基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2013年
28期
3701-3702
,共2页
心肌缺血%动态心电图%诊断%检出率
心肌缺血%動態心電圖%診斷%檢齣率
심기결혈%동태심전도%진단%검출솔
Myocardial ischemia%Dynamic electrocardiogram%Diagnosis%Detection rate
目的评价动态心电图对心肌缺血的诊断价值。方法对131例受检者进行24 h动态心电图检查，记录其ST-T改变，并进行分析比较。结果131例受检者中有缺血性ST段改变者45例，占34.3%；缺血性T波改变者16例，占12.2%；陈旧性心肌梗死3例，占2.2%；心绞痛发作5例，占3.8%。29岁~49岁年龄段与60岁年龄段相比较心肌缺血发病率有显著性差异。结论动态心电图检测可以提高心肌缺血的检出率，对其治疗及预后有指导意义。
目的評價動態心電圖對心肌缺血的診斷價值。方法對131例受檢者進行24 h動態心電圖檢查，記錄其ST-T改變，併進行分析比較。結果131例受檢者中有缺血性ST段改變者45例，佔34.3%；缺血性T波改變者16例，佔12.2%；陳舊性心肌梗死3例，佔2.2%；心絞痛髮作5例，佔3.8%。29歲~49歲年齡段與60歲年齡段相比較心肌缺血髮病率有顯著性差異。結論動態心電圖檢測可以提高心肌缺血的檢齣率，對其治療及預後有指導意義。
목적평개동태심전도대심기결혈적진단개치。방법대131례수검자진행24 h동태심전도검사，기록기ST-T개변，병진행분석비교。결과131례수검자중유결혈성ST단개변자45례，점34.3%；결혈성T파개변자16례，점12.2%；진구성심기경사3례，점2.2%；심교통발작5례，점3.8%。29세~49세년령단여60세년령단상비교심기결혈발병솔유현저성차이。결론동태심전도검측가이제고심기결혈적검출솔，대기치료급예후유지도의의。
Objective The diagnostic value of dynamic electrocardiogram with the myocardial ischemia. Methods 131 cases were given the 24h dynamic electrocardiogram inspection and record the ST-T changes, then the results were compared and analyzed. Results Ischemic ST segment changes in 45 cases, accounted for 34.3%; ischemic T wave changes in 16 cases, accounted for 12.2%, and 3 patients with old myocardial infarction, accounted for 2.2%, 5 cases of angina pectoris, accounted for 3.8%. Incidence rate of myocardial ischemia disease in the 29~49 years group was different compared with the 60 years group, the difference was significant. Conclusion Dynamic electrocardiogram detection can improve the detection rate of myocardial ischemia, had guiding significance for the treatment and prognosis.
