CAJ | 학술논문

目的：：探究ST段抬高型心肌梗死患者超急性期心电图表现情况及其临床意义。方法：随机选取ST段抬高型超急性期心肌梗死患者50例，设为观察组，另随机选取同期收治无ST段抬高型的超急性期心肌梗死患者50例，设为对照组。对比两组患者心电图表现特征及ST段抬高型心肌梗死患者缺血性J波患者与无缺血性J波患者心律失常发生概率。结果：相对于对照组患者，观察组患者末峰间隔时间明显延长，差异有统计学意义(P<0.05)；观察组患者缺血性J波组患者中发生心律失常概率相对于未出现J波患者要明显增多，差异有统计学意义(P<0.05)。结论：ST段抬高型心肌梗死超急性期患者的心电图存在极为明显的特征，对于临床诊断和治疗方案的制定有重要的指导价值，值得临床重视。
목적：：탐구ST단태고형심기경사환자초급성기심전도표현정황급기림상의의。방법：수궤선취ST단태고형초급성기심기경사환자50례，설위관찰조，령수궤선취동기수치무ST단태고형적초급성기심기경사환자50례，설위대조조。대비량조환자심전도표현특정급ST단태고형심기경사환자결혈성J파환자여무결혈성J파환자심률실상발생개솔。결과：상대우대조조환자，관찰조환자말봉간격시간명현연장，차이유통계학의의(P<0.05)；관찰조환자결혈성J파조환자중발생심률실상개솔상대우미출현J파환자요명현증다，차이유통계학의의(P<0.05)。결론：ST단태고형심기경사초급성기환자적심전도존재겁위명현적특정，대우림상진단화치료방안적제정유중요적지도개치，치득림상중시。
Objective:To explore ECG findings and research values for patients with ST-elevation myocardial infarction at su-per acute stage. Methods:50 cases with super acute ST-elevation myocardial infarction were randomly selected as observation group, while 50 cases with super acute myocardial infarction were selected as control group. The ECG findings and incidences of arrhythmia of the patients with ischemic J wave and without ischemic J wave were compared. Results:Compared with the control group patients, the time interval of the end peak of observation group was significantly prolonged, and the difference was statistically significant ( P<0. 05). The incidence of arrhythmia of the patients with ischemic J wave was higher than that of those without ischemic J wave, and the difference was statistically significant (P<0. 05). Conclusions:The super acute ST-elevation myocardial infarction patients have very obvious ECG characteristics, which has a guidance value for clinical diagnosis and treatment, and is worthy of clinical attention.