CAJ | 학술논문

目的：探讨24 h动态心电图在冠心病合并心绞痛中的诊断价值。方法收集2011~2013年疑似诊断为心绞痛型冠心病患者60例，通过冠状动脉造影方法确诊60例患者中有32例心绞痛型冠心病患者设为研究组，28例非典型性心绞痛型冠心病患者设为对照组，对两组患者均进行3导联同步24 h动态心电图检查，然后指派固定的临床住院医师及时记录检测结果，患者在进行动态心电图监测过程中的生活状态、活动情况，并进行统计学分析。结果研究组ST-T改变阳性率为71.88%，对照组ST-T改变阳性率为21.43%，差异有统计学意义(P<0.05)。结论冠心病合并心绞痛患者动态心电图ST-T改变阳性率与疾病本身有很大关联，应对患者进行动态心电图检测，同时结合实际病情和生活状况，对病情做出准确判断。
목적：탐토24 h동태심전도재관심병합병심교통중적진단개치。방법수집2011~2013년의사진단위심교통형관심병환자60례，통과관상동맥조영방법학진60례환자중유32례심교통형관심병환자설위연구조，28례비전형성심교통형관심병환자설위대조조，대량조환자균진행3도련동보24 h동태심전도검사，연후지파고정적림상주원의사급시기록검측결과，환자재진행동태심전도감측과정중적생활상태、활동정황，병진행통계학분석。결과연구조ST-T개변양성솔위71.88%，대조조ST-T개변양성솔위21.43%，차이유통계학의의(P<0.05)。결론관심병합병심교통환자동태심전도ST-T개변양성솔여질병본신유흔대관련，응대환자진행동태심전도검측，동시결합실제병정화생활상황，대병정주출준학판단。
Objective To discuss the diagnosis value of 24-hour dynamic electrocardiogram in coronary heart disease complicated with angina. Methods Sixty patients diagnosed with suspected anginal coronary artery disease from 2011 to 2013 were collected.It was confirmed by coronary angiography that 32 cases of 60 patients suffered from anginal coronary artery disease as study group,28 patients suffered from atypical anginal coronary heart disease as control group.Both groups of patients received 3-lead and 24-hour dynamic electrocardiographic examination.Then fixed clini-cal resident doctors were assigned to record the patients’ test results timely,the patients’ life status and activity during the dynamic electrocardiographic examination process,the results were analyzed statistically. Results The positive rate of ST-T change in study group was 71.88% and that in control group was 21.43%,with statistical difference (P<0.05). Conclusion The positive rate of dynamic electrocardiographic ST-T change in patients with coronary heart disease complicated with angina is largely related to disease,therefore dynamic electrocardiographic examination should be con-ducted among the patients and their actual state of illness and life status should be combined at the same time in order to determine the patients’state of illness accurately.