230例精神科心肌缺血患者动态心电监测分析

myocardial ischemia Holter monitoring and analysis among 230 cases of psychiatric patients

目的探讨精神科心肌缺血患者动态心电检测的效果和临床意义。方法随机选择2012年1月到2014年12月我院精神科收治的230例患者作为研究对象,分别行静态心电图和24 h动态心电监测,统计分析两种方式对心肌缺血的诊断结果。结果研究结果显示,静态心电图确诊为心肌缺血的为56例(23.35%),假阳性174例(76.65%),经动态心电图确诊为心肌缺血的为106例(46.09%),假阳性124例(53.91%),动态心电图心肌缺血的检出率显著高于静态心电图的检出率,差异有统计学意义(P<0.05)。结论结果表明,精神科心肌缺血患者静态心电图检查的假阳性率较高,动态心电图可显著提高心肌缺血的检出率,值得临床推广与应用。

Objective To investigate the clinical significance of Holter monitoring on patients with. psychiatric myocardial ischemia. Methods 230 cases of psychiatric patients who were treated in our hospital during January 2012 to December 2014 were randomly selected for the research. All patients were performed static ECG and Holter monitoringfor 24 hours. Results The results showed that there were 56 patients being diagnosed with myocardial ischemia through static ECG （23.35%）, 174 patients with false positive （76.65%）. There are 106 cases being diagnosed with myocardial ischemia through 24-hour Holter monitoring （46.09%）, and 124 cases with false positive （53.91%）. Ischemia detection rate through Holter monitoring was significantly higher than the static electrocardiogram detection rate, the difference was statistically significant （P〈0.05）. Conclusion The results show that the false positive rate of psychiatric patients with myocardial ischemia is higher through static ECG detection, Holter can significantly increase the detection rate of myocardial ischemia. It is worthy to be promoted and applied.