实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2014年
5期
106-107,110
,共3页
心电图%ST-T改变%高血压%冠心病
心電圖%ST-T改變%高血壓%冠心病
심전도%ST-T개변%고혈압%관심병
electrocardiogram%ST-T changes%hypertension%coronary heart disease
目的:探讨高血压病患者心电图 ST-T 改变对冠心病的临床诊断意义。方法选取本院收治的112例高血压且伴胸痛的患者,根据 ST-T 变化情况,将其分为 ST-T 动态变化组和 ST-T 无动态变化组。对2组患者均进行心电图监测及冠状动脉造影术,并分析冠状动脉造影术结果与 ST-T 变化的关系。结果 ST-T 动态变化组中冠状动脉阳性者36例(32.1%),阴性者10例(8.9%),而 ST-T 无动态变化组中冠状动脉阳性者18例(16.1%),阴性者48例(42.9%)。ST-T 动态变化组中冠状动脉阳性率明显高于 ST-T 无动态变化组,差异有统计学意义。结论高血压病患者心电图 ST-T 改变与冠心病诊断具有一定相关性,可作为早期诊断冠心病的参考依据之一。
目的:探討高血壓病患者心電圖 ST-T 改變對冠心病的臨床診斷意義。方法選取本院收治的112例高血壓且伴胸痛的患者,根據 ST-T 變化情況,將其分為 ST-T 動態變化組和 ST-T 無動態變化組。對2組患者均進行心電圖鑑測及冠狀動脈造影術,併分析冠狀動脈造影術結果與 ST-T 變化的關繫。結果 ST-T 動態變化組中冠狀動脈暘性者36例(32.1%),陰性者10例(8.9%),而 ST-T 無動態變化組中冠狀動脈暘性者18例(16.1%),陰性者48例(42.9%)。ST-T 動態變化組中冠狀動脈暘性率明顯高于 ST-T 無動態變化組,差異有統計學意義。結論高血壓病患者心電圖 ST-T 改變與冠心病診斷具有一定相關性,可作為早期診斷冠心病的參攷依據之一。
목적:탐토고혈압병환자심전도 ST-T 개변대관심병적림상진단의의。방법선취본원수치적112례고혈압차반흉통적환자,근거 ST-T 변화정황,장기분위 ST-T 동태변화조화 ST-T 무동태변화조。대2조환자균진행심전도감측급관상동맥조영술,병분석관상동맥조영술결과여 ST-T 변화적관계。결과 ST-T 동태변화조중관상동맥양성자36례(32.1%),음성자10례(8.9%),이 ST-T 무동태변화조중관상동맥양성자18례(16.1%),음성자48례(42.9%)。ST-T 동태변화조중관상동맥양성솔명현고우 ST-T 무동태변화조,차이유통계학의의。결론고혈압병환자심전도 ST-T 개변여관심병진단구유일정상관성,가작위조기진단관심병적삼고의거지일。
Objective To study the clinical significance of ST-T changes in electrocardio-gram to diagnose coronary heart disease in hypertensive patients.Methods One hundred and twelve patients with hypertension accompanied by chest pain in our hospital were divided into ST-T group with dynamic changes with 46 patients and ST-T group without dynamic changes with 66 patients according to ST-T changes.All patients were given electrocardiogram monitoring and coronary an-giography,and the relationship between the results of coronary angiography and ST-T dynamic changes was analyzed in both groups.Results There were 36 patients (32.1%)of positive coro-nary artery and 10 patients (8.9%)of negative coronary artery in ST-T group with dynamic changes,whereas there were 18 patients (16.1%)of positive coronary artery and 48 patients (42. 9%)of negative coronary artery in ST-T group without dynamic changes.The positive rate of coro-nary artery was evidently higher in ST-T group with dynamic changes than that in ST-T group without dynamic changes,and the difference was statistical significant.Conclusion ST-T dynamic changes in electrocardiogram of hypertensive patients has a certain correlation with the diagnosis of coronary heart disease,which can be considered as one of the references to diagnose the coronary heart disease.