江苏实用心电学杂志
江囌實用心電學雜誌
강소실용심전학잡지
JOURNAL OF PRACTICAL ELECTROCARDIOLOGYJS
2014年
6期
433-435
,共3页
动态心电图%常规心电图%冠心病%心律失常%诊断价值
動態心電圖%常規心電圖%冠心病%心律失常%診斷價值
동태심전도%상규심전도%관심병%심률실상%진단개치
ambulatory electrocardiography%routine electrocardiogram%coronary heart disease%arrhythmia%diagnostic value
目的：探讨常规心电图与动态心电图在诊断冠心病心律失常疾病方面的应用价值。方法选取我院心内科收治的冠心病患者60例，均符合冠心病诊断标准，先用常规心电图对所有患者进行检查；然后采用动态心电图系统再次进行检查，24 h监测患者的心率变化。采用计算机分析比较两种诊断方法的检查结果。结果常规心电图检测心律失常阳性34例（56．67％），低于动态心电图的检出率71．67％（43／60），差异有统计学意义（P＜0．05）。动态心电图对房性早搏二、三联律，室性早搏二、三联律，房性早搏成对，室性早搏成对和短阵室上速的检出率高于常规心电图，差异有统计学意义（P＜0．05）。结论与常规心电图相比，动态心电图具有明显优势，它可检测出患者任一时间点的冠脉缺血情况、心律失常发作时间和频率，能够更准确、更精细地监测患者心电信号，值得在临床中广泛应用。
目的：探討常規心電圖與動態心電圖在診斷冠心病心律失常疾病方麵的應用價值。方法選取我院心內科收治的冠心病患者60例，均符閤冠心病診斷標準，先用常規心電圖對所有患者進行檢查；然後採用動態心電圖繫統再次進行檢查，24 h鑑測患者的心率變化。採用計算機分析比較兩種診斷方法的檢查結果。結果常規心電圖檢測心律失常暘性34例（56．67％），低于動態心電圖的檢齣率71．67％（43／60），差異有統計學意義（P＜0．05）。動態心電圖對房性早搏二、三聯律，室性早搏二、三聯律，房性早搏成對，室性早搏成對和短陣室上速的檢齣率高于常規心電圖，差異有統計學意義（P＜0．05）。結論與常規心電圖相比，動態心電圖具有明顯優勢，它可檢測齣患者任一時間點的冠脈缺血情況、心律失常髮作時間和頻率，能夠更準確、更精細地鑑測患者心電信號，值得在臨床中廣汎應用。
목적：탐토상규심전도여동태심전도재진단관심병심률실상질병방면적응용개치。방법선취아원심내과수치적관심병환자60례，균부합관심병진단표준，선용상규심전도대소유환자진행검사；연후채용동태심전도계통재차진행검사，24 h감측환자적심솔변화。채용계산궤분석비교량충진단방법적검사결과。결과상규심전도검측심률실상양성34례（56．67％），저우동태심전도적검출솔71．67％（43／60），차이유통계학의의（P＜0．05）。동태심전도대방성조박이、삼련률，실성조박이、삼련률，방성조박성대，실성조박성대화단진실상속적검출솔고우상규심전도，차이유통계학의의（P＜0．05）。결론여상규심전도상비，동태심전도구유명현우세，타가검측출환자임일시간점적관맥결혈정황、심률실상발작시간화빈솔，능구경준학、경정세지감측환자심전신호，치득재림상중엄범응용。
Objective To discuss the clinical values of ambulatory electrocardiography ( AECG) and routine electrocardiogram ( ECG ) in diagnosing arrhythmia in patients with coronary heart dis-ease.Methods We selected 60 patients diagnosed with coronary heart disease in the department of cardiology in our hospital .They were examined first by routine ECG , and then AECG in order to monitor the changes of their heart rates for 24 hours.The examination results in the two diagnostic methods were comparatively analyzed by computer .Results There were 34 cases of arrhythmia de-tected by routine ECG , accounting for 56 .67%, lower than the detection rate of 71 .67%( 43/60 ) by AECG, and the difference was statistically significant (P<0.05).By AECG, the detection rates of atrial premature beats bigeminy/trigeminy, premature ventricular contraction bigeminy/trigeminy, pairing of atrial premature beats , pairing of premature ventricular contraction , and paroxysmal su-praventricular tachycardia were higher than those by routine ECG , with statistically significant differ-ences(P<0.05).Conclusion AECG is superior to routine ECG because the former can detect coronary ischemia at any time point as well as the duration and frequency of arrhythmia , and is also capable of monitoring electrocardiosignals more accurately and more finely .AECG is worthy of being promoted clinically .
