冠心病患者心律失常应用动态心电图与常规心电图诊断对比

The Diagnostic and Comparative of Holter and ECG for Patients with Coronary Heart Arrhythmia

目的:探讨动态心电图与常规心电图应用在冠心病患者心律失常诊断中的效果。方法:按照随机抽样的方式选择笔者所在医院接诊的冠心病患者50例进行研究,纳入研究患者有完整临床资料,自愿配合本研究,均实施常规心电图(对照组)与动态心电图(研究组)诊断,比较诊断结果。结果:研究组诊断心律失常阳性率为84.00%,对照组则为50.00%,研究组显著高于对照组,比较差异有统计学意义(P<0.05);两组诊断心律失常具体情况方面,室性期前收缩二三联律、室性期前收缩成对、房性期前收缩二三联律、房性期前收缩成对、房室传导阻滞及短阵室上速检出率比较差异均有统计学意义(P<0.05)。结论:动态心电图诊断冠心病心律失常阳性率更高,诊断更符合实际,值得借鉴。

Objective：To investigate the application of holter and ECG in arrhythmia diagnosis in patients with coronary heart disease effect.Method：According to random sampling method,50 cases with coronary heart disease were selected in the author’s hospital,the patients included in the study had complete clinical data with this voluntary study,the implementation of all ECG（the control group） and holter（the study group） diagnosis,the diagnosis results were compared.Result：The study group diagnosis of arrhythmia positive rate was 84.00%,the control group was 50.00%,the study group was higher than the control group,the difference was statistically significant（P〈0.05）.Two aspects of diagnosis of arrhythmia,ventricular contraction two triple law,ventricular contractions paired atrial contraction two triple law,paired atrial contraction,atrioventricular conduction block and paroxysmal supraventricular tachycardia detection rate were significantly different（P〈0.05）.Conclusion：The diagnosis of holter positive rate for coronary heart arrhythmia is higher,more realistic diagnosis,it is worth learning from.