CAJ | 학술논문

目的：分析心尖肥厚型心肌病（AHCM）心电图和超声心动图特点，并探讨二者的相关性，为提高心尖肥厚型心肌病的诊断提供依据。方法：选择20例心尖肥厚型心肌病患者为观察组，20例健康体检且一切正常的志愿者为对照组。两组均接受超声心动图和心电图检查，并对异常指标进行Pearson相关性分析，探讨二者的关系。结果：超声心动图和心电图结果均有一定的异常。Pearson相关性分析表明心尖心肌厚度与R波最大波幅、左室后壁厚度与R波最大波幅正相关（r值分别为0.7428、0.7254，P<0.05）。心尖心肌厚度与ST段压低深度、心尖心肌厚度与T波倒置深度与负相关（r值分别为-0.6735、-0.6649，P<0.05）。结论：心尖肥厚型心肌病患者的超声心动图和心电图均有不同程度的异常表现，而且两者的多种异常表现具有相关性。
목적：분석심첨비후형심기병（AHCM）심전도화초성심동도특점，병탐토이자적상관성，위제고심첨비후형심기병적진단제공의거。방법：선택20례심첨비후형심기병환자위관찰조，20례건강체검차일절정상적지원자위대조조。량조균접수초성심동도화심전도검사，병대이상지표진행Pearson상관성분석，탐토이자적관계。결과：초성심동도화심전도결과균유일정적이상。Pearson상관성분석표명심첨심기후도여R파최대파폭、좌실후벽후도여R파최대파폭정상관（r치분별위0.7428、0.7254，P<0.05）。심첨심기후도여ST단압저심도、심첨심기후도여T파도치심도여부상관（r치분별위-0.6735、-0.6649，P<0.05）。결론：심첨비후형심기병환자적초성심동도화심전도균유불동정도적이상표현，이차량자적다충이상표현구유상관성。
Objective:To analyze the value of the ultrasonic beckoning diagram and electrocardiogram on the apical hypertrophic cardiomyopathy(AHCM)and explore the correlation of ultrasonic beckoning diagram and electrocardiogram to provide basis for improving the diagnosis of AHCM. Method:20 patients with ACHM were taken as the observation group and 20 cases with healthy volunteers as control group,who accepted the diagnosis of ECG and ultrasonic beckoning diagram to explore the relationship between the two diagnosis methods. Result:The results showed that ultrasound Beckoning and ECG had a certain abnormality. Pearson correlation analysis showed that the maximum R wave amplitude had positive correlation with left ventricular and apical myocardial thickness(r=0.7428,0.7254, P<0.05). Apical myocardial thickness had negative correlation with ST segment depression depth and T wave inversion depth(r=-0.6735,-0.6649,P<0.05). Conclusion:The diagnoses of ECG and ultrasonic beckoning diagram on AHCM have showed certain abnormalities,and the abnormalities have relevance.