动态心电图与常规心电图诊断冠心病的对比

Comparison of Dynamic Electrocardiogram and Conventional Electrocardiogram in Diagnosis of Coronary Heart Disease

目的探究在冠心病的诊断方法中,动态心电图与常规心电图的诊断价值。方法以我院2017年1月—2018年1月收治的疑似冠心病患者100例为研究对象,分别接受两种心电图检查,以常规心电图检查的各项指标作为参照组,另以动态心电图检查的各项指标作为探究组,对比两种心电图检查结果。结果探究组的阳性发现人数比率、阴性发现人数比率与参照组差异有统计学意义(P<0.05),同时探究组的室性心律失常、房性心律失常、房室阻滞、阵发性室上速发现比率与参照组相比差异有统计学意义(P<0.05)。结论在冠心病临床诊断中,推荐动态心电图在临床诊断中进行充分应用。

Objective To explore the diagnostic value of dynamic electrocardiogram （ECG） and routine electrocardiogram （ECG） in diagnosis of coronary heart disease （CHD）. Methods 100 patients with suspected coronary heart disease admitted in our hospital from January 2017 to January 2018 were examined by two kinds of electrocardiogram, and the indexes of routine electrocardiogram were used as reference group. In addition, the indexes of ambulatory electrocardiogram were used as the research group, and the results of two kinds of electrocardiogram were compared. Results The ratio of positive fndings and negative fndings in the inquiry group were different from those in the reference group, the difference was statistically significant （P 〈 0.05）. At the same time, the rates of ventricular arrhythmia, atrial arrhythmia, atrioventricular block and paroxysmal supraventricular speed in inquiry group were signifcantly diferent from those in the reference group, and the diference was statistically signifcant （P 〈 0.05）. Conclusion In the clinical diagnosis of coronary heart disease, dynamic electrocardiogram is recommended to be applied in clinical diagnosis.