动态心电图与常规心电图对冠心病患者的诊断价值

Value of Dynamic Electrocardiogram and Routine Electrocardiogram in Patients with Coronary Heart Disease

目的探究采用动态心电图以及常规心电图在诊断冠心病患者疾病时的应用价值。方法方便选取2014年6月—2016年6月进入该院进行治疗经过冠状动脉造影检查确诊为冠心病的患者共96例,分别采用动态心电图以及常规心电图对患者进行检查,对两种不同方法得到的心电图进行分析,比较采用两种方法对于患者心肌缺血、心律失常的检出以及检查准确性进行比较。结果比较常规心电图与动态心电图对于冠心病患者的心肌缺血的检出率,采用动态心电图检测对于心肌缺血的检出率为86.45%,与常规心电图检出率48.96%相比差异有统计学意义(P<0.05);比较常规心电图与动态心电图对于冠心病患者的心律失常的检出率,结果发现,动态心电图对于心律失常的检出率明显高于常规心电图,数据差异有统计学意义(P<0.05)。结论用动态心电图对患者检查时,对于心肌缺血以及心律失常的检出率较高,具有一定临床价值,可以作为冠心病临床诊断的方式进行推广与应用。

Objective To study the application value of dynamic electrocardiogram and routine electrocardiogram in patients with coronary heart disease. Methods 96 cases of patients with coronary heart disease confirmed by the coronary arteriongraphy in our hospital from June 2014 to June 2016 were convenient selected and examined by the dynamic electrocardiogram and routine electrocardiogram, and the electrocardiograms obtained were analyzed and the test rate and accuracy of the two methods in the ischemia myocardial and arrhythmia of patients with coronary heart disease were compared. Results The difference in the test rate of ischemia myocardial between the dynamic electrocardiogram and routine electrocardiogram was obvious,（86.45% vs 48.96%）（P〈0.05）, and the test rate of dynamic electrocardiogram to the arrhythmia was obviously higher than that of routine electrocardiogram, and the difference was obtious（P〈0.05）. Conclusion The test rate of dynamic electrocardiogram to the myocardial ischemia and arrhythmia is high with a certain clinical value, which can be used as clinical diagnosis method of coronary heart disease for promotion and application.