动态心电图与常规心电图诊断冠心病患者心律失常的比较

Dynamic electrocardiogram compared with the electrocardiogram in the diagnosis of coronary heart disease patients with arrhythmia

目的：比较常规心电图和动态心电图诊断冠心病患者心律失常的临床效果。方法：将我院68例冠心病患者采用常规心电图和动态心电图两种方法检测，分析比较两种方法的诊断结果。结果：两种方法在诊断冠心病阳性率上没有统计学意义（P＞0.05）；在房性早搏二（三）联、室性早搏二（三）联、房性早搏成对、室性早搏成对、短阵室上速之间有显著性差异，有统计学意义（P＜0.05），动态心电图心律失常检出率高于常规心电图。结论：动态心电图诊断冠心病心律失常的临床效果好于常规心电图诊断，值得推广。

Objective：Objective To discuss the clinical results were dynamic electrocardiogram and electrocardiogram arrhythmia in patients with coronary heart disease diagnosis. Method：68 cases of coronary heart disease were enroled,every patients was examined by electrocardiogram and dynamic electrocardio -gram,diagnostic analysis and comparison of the results of the two methods. Results：Two methods were not statisticaly significant in the diagnosis of coronary heart disease positive rate（P〉0.05）;in patients with ventricular premature beats in pairs, of premature ventricular contractions in two, atrial premature beat trigeminy, paired, atrial premature beat trigeminy, two, paroxysmal supraventricular tachycardia in dynamic, two groups with signifi cant difference（P〈0.05）, dynamic electrocardiogram better than electrocardiogram. Conclusion：Dynamic electrocardiographic monitoring and diagnosis of cardiac arrhythmia in patients with coronary heart disease clinical significance, worthy of popularization.