375例胸痛患者的心电图分析

Three hundred and seventy five cases ECG analysis of chest pain patients and clinical significance

目的探讨胸痛患者的心电图(ECG)变化特点及临床意义。方法回顾性分析375例胸痛患者常规12导联心电图。结果筛选出异常心电图252例,发生率67.2%,其中男性异常人数135例,发生率66.5%;女性117例,发生率68.02%。心电图异常随着年龄增长呈增加,年龄分段比较,差异有统计学意义(p<0.05)。心电图异常以原发性ST-T改变为多见,占24.0%,其次是心律失常。结论胸痛患者心电图异常存在年龄和性别差异,有助于指导胸痛患者的临床诊断和治疗,也可作为判断预后的一个指标。

Objective A probe into how the chest pain patients＇ electrocardiogram （ECG） changes and its clinical significance. Methods A retrospective analysis of 375 the Chest pain patients＇ ECG. Results 252 cases of abnormal electrocardiographic pattern were discovered, accounting for 67.2%; among these cases, there were 135 male and 117 female with 66.5% and 68.02% respectively, showing female were more likely to suffer. Abnormal electrocardiographic pattern increases with age in number and deteriorates in seriousness. Based on age brackets, the difference in comparison is of statistical implication（p〈0.05） The change of primary ST-T is a main feature of abnormal electrocardiographic pattern with the figure of 24.0%, followed by arrhythmia. Conclusion The ECG of chest pain patients differs in age and gender, helping to guide the clinical diagnosis and treatment and serving as an indicator of prognosis.