CAJ | 학술논문

目的：比较三导同步心电图并加做各导联检查与常规心电图检查在中老年人体检中的检出率差异。方法对2012年1～6月来本院进行健康体检的905例中老年人采用两种方法采集心电图。第一种方法（对照组）行常规心电图检查，第二种方法(实验组)采用三导同步心电图并加做各导联检查，观察两种方法心电图的阳性检出率。结果905例体检者中，对照组检出异常心电图244例，占26.96%；实验组检出异常心电图352例，占38.90%。两组比较差异有统计学意义(χ2=21.369， P=0.000)。结论采用三导同步心电图并加做各导联检查这种方法，使阳性检出率明显提高，还可以发现频发早搏、短阵室速、心肌梗塞、预激等严重的情况。
목적：비교삼도동보심전도병가주각도련검사여상규심전도검사재중노년인체검중적검출솔차이。방법대2012년1～6월래본원진행건강체검적905례중노년인채용량충방법채집심전도。제일충방법（대조조）행상규심전도검사，제이충방법(실험조)채용삼도동보심전도병가주각도련검사，관찰량충방법심전도적양성검출솔。결과905례체검자중，대조조검출이상심전도244례，점26.96%；실험조검출이상심전도352례，점38.90%。량조비교차이유통계학의의(χ2=21.369， P=0.000)。결론채용삼도동보심전도병가주각도련검사저충방법，사양성검출솔명현제고，환가이발현빈발조박、단진실속、심기경새、예격등엄중적정황。
Objective: to compare the three lead electrocardiograph (ecG) synchronization plus all leads ecG examination with routine detection rate differences in the physical examination of the healthy middle-aged and elderly population. Methods: to observe the positive rate of the two ecG methods.record the ecG of 905 middle-aged and elderly population during January to June 2012. Results: there were 244 abnormal ecG cases in control group, accounting for 26.96%; there were 352 abnormal ecG cases in experimental group, accounting for 38.90%. the difference was statistically significant between the two groups(χ2=21.369 P=0.000). Conclusions: the method that three lead electrocardiograph (ecG) synchronization plus all leads ecG examination greatly increased the positive rate. it can find even more serious cases such as frequent premature, paroxysmal supraventricular tachycardia, myocardial infarction, intermittent WPW and so on.