临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2014年
8期
956-957
,共2页
动态心电图%冠心病%应用观察
動態心電圖%冠心病%應用觀察
동태심전도%관심병%응용관찰
Dynamic electrocardiogram (ECG)%Coronary artery disease%Detection rate
目的：研究动态心电图在冠心病临床诊断中的应用价值。方法82例拟诊冠心病患者随机均分成两组，观察组进行动态心电图诊断，对照组则进行常规心电图诊断。对比两组症状检出率以及ST段下移持续时间。结果观察组发现心肌缺血性ST段下移464次，其中SMI发作392次，有症状缺血发作72次，均显著高于对照组(P<0.05)。观察组SMI持续时间(14.6±3.5)min/次，有症状性心肌缺血持续时间(31.2±9.8)min/次，均显著高于对照组(P<0.05)。观察组ST段下移发作高峰时间6~12时为198阵次，12~18共84阵次，18~24时共57阵次，0~6时共47阵次，均显著高于对照组(P<0.05)。结论临床中对于冠心病患者采取动态心电图的诊断，提高了对冠心病临床诊断的检出率，安全性较高，值得临床推荐应用。
目的：研究動態心電圖在冠心病臨床診斷中的應用價值。方法82例擬診冠心病患者隨機均分成兩組，觀察組進行動態心電圖診斷，對照組則進行常規心電圖診斷。對比兩組癥狀檢齣率以及ST段下移持續時間。結果觀察組髮現心肌缺血性ST段下移464次，其中SMI髮作392次，有癥狀缺血髮作72次，均顯著高于對照組(P<0.05)。觀察組SMI持續時間(14.6±3.5)min/次，有癥狀性心肌缺血持續時間(31.2±9.8)min/次，均顯著高于對照組(P<0.05)。觀察組ST段下移髮作高峰時間6~12時為198陣次，12~18共84陣次，18~24時共57陣次，0~6時共47陣次，均顯著高于對照組(P<0.05)。結論臨床中對于冠心病患者採取動態心電圖的診斷，提高瞭對冠心病臨床診斷的檢齣率，安全性較高，值得臨床推薦應用。
목적：연구동태심전도재관심병림상진단중적응용개치。방법82례의진관심병환자수궤균분성량조，관찰조진행동태심전도진단，대조조칙진행상규심전도진단。대비량조증상검출솔이급ST단하이지속시간。결과관찰조발현심기결혈성ST단하이464차，기중SMI발작392차，유증상결혈발작72차，균현저고우대조조(P<0.05)。관찰조SMI지속시간(14.6±3.5)min/차，유증상성심기결혈지속시간(31.2±9.8)min/차，균현저고우대조조(P<0.05)。관찰조ST단하이발작고봉시간6~12시위198진차，12~18공84진차，18~24시공57진차，0~6시공47진차，균현저고우대조조(P<0.05)。결론림상중대우관심병환자채취동태심전도적진단，제고료대관심병림상진단적검출솔，안전성교고，치득림상추천응용。
Objective To study the application of dynamic electrocardiogram (ECG) in the clinical diagnosis of coronary artery disease. Methods 82 patients with suspected coronary heart disease were randomly divided into two groups. 41 cases of the observation group received dynamic ECG diagnosis, while 41 cases of the control group received routine ECG. The detection rates and ST segment depression duration were compared between two groups. Results 464 times of ST segment depression duration were found in the observation group, including 392 times of SMI attack, and 72 times of symptomatic ischemic attack, all of the above were significantly higher than those of the control group (P<0.05). The SMI duration and symptomatic myocardial ischemia duration of the observation group were (14.6±3.5) min/time and (31.2±9.8) min/time respectively, significantly higher than those of the control group (P<0.05). According to ST segment depression measured by the number of SMI, the observation group had 198 times from 6:00 to 12:00, 84 times from 12:00 to 18:00, 57 times from 18:00 to 24:00, and 47 times from 0:00 to 6:00, all were significantly higher than those of the control group (P<0.05). Conclusions In the clinical diagnosis of coronary artery disease, dynamic ECG can improve the detection rate with high safety, which is worthy of clinical application.
