心脏B超与心电图诊断高血压心脏病效果比较研究

Comparison of the Diagnosis Effects of Heart Ultrasound and ECG in Hypertensive Heart Disease

目的比较心脏B超、心电图诊断高血压心脏病的效果。方法选取2014年1月—2016年1月本院收治的高血压心脏病患者90例,其均行心脏B超和心电图检查,比较两种方法诊断结果。结果心脏B超检出左心室肥厚72例(80.0%),左心室扩大33例(36.7%),左心房增大39例(43.3%);心电图检查检出左心室肥厚30例(33.3%),左心室扩大16例(17.8%),左心房增大8例(8.9%)。心脏B超和心电图检查左心室肥厚、左心室扩大、左心房增大检出率比较,差异均有统计学意义(P<0.05)。心电图检查检出心肌缺血68例(75.6%),心率/心律改变46例(51.1%)。结论心脏B超诊断高血压心脏病的效果更好,临床可结合心电图对诊断结果进行补充。

Objective To analyzed the diagnosis effects of heart ultrasound and ECG in hypertensive heart disease.Methods 90 patients with hypertensive heart disease were analyzed in our hospital from January 2014 to January 2016. All the patients were received heart ultrasound and ECG, and the effects were compared between the two methods. Results The diagnostic results of heart ultrasound showed that the detection rate of left ventricular hypertrophy,left ventricular enlargement and left atrial enlargement was 80. 0%（ 72/90）,36. 7%（ 33/90）,43. 3%（ 39/90）. The ECG showed that the detection rate of left ventricular hypertrophy,left ventricular enlargement and left atrial enlargement was 33. 3%（ 30/90）,17. 8%（ 16/90）,8. 9%（ 8/90）. There was significantly difference of detection rate of left ventricular hypertrophy, left ventricular enlargement and left atrial enlargement between the two methods（ P 〈 0. 05）. The ECG showed that the detection rate of myocardial ischemia,changed of heart rate and heart rhythm was 75. 6%（ 68/90）,51. 1%（ 46/90）. Conclusion The diagnosis effect of heart ultrasound is better than ECG. The ECG can be used to supplement the diagnosis results.