动态心电图与常规心电图诊断冠心病的临床效果对比分析

Clinical Analysis of Dynamic Electrocardiogram and Routine Electrocardiogram in the Diagnosis of Coronary Heart Disease

目的探讨动态心电图与常规心电图在冠心病诊断方面的价值。方法选取治疗的84例冠心病患者,所有患者均采用动态心电图和常规心电图进行检查,对两种诊断方法的诊断结果进行比较。结果常规心电图和动态心电图早搏二/三联、短阵室上速、室性早搏二/三联、房性早搏成对的检出率比较,差异具有统计学意义(P<0.05);房性早搏早发和房室传导阻滞的检出率比较,差异无统计学意义(P>0.05);两种诊断方法心肌缺血阳性检出率分别为47.6%和86.9%,差异具有统计学意义(P<0.05)。结论采用动态心电图对冠心病进行诊断效果显著,优于常规心电图诊断效果,可在临床中推广应用。

Objective To investigate the effect of dynamic electrocardiogram and routine electrocardiogram in the diagnosis of coronary heart disease. Methods 84 patients with coronary heart disease treated in our hospital were selected. All patients were examined by dynamic electrocardiogram and routine electrocardiogram. The results of the two methods were compared. Results Routine ECG and dynamic ECG heats second / triple, paroxysmal ventricular tachycardia, ventricular premature beat second / triple, atrial premature heat pairwise difference in detection rate with statistical significance （P〈0.05）, real premature premature and atrioventricular block detection rate, there was no significant difference （P〉0.05）, two methods for the diagnosis of myocardial ischemi. Conclusion Using dynamic electrocardiogram for diagnosis of coronary heart disease is significant, the effect is better than the conventional ECG diagnosis effect, can be widely used in clinical.