碎裂QRS波在早期心梗诊断中的临床意义

Clinical significance of fragmented QRS wave in the diagnosis of early myocardial infarction

目的:探讨碎裂QRS波对早期心梗患者的诊断意义。方法:对150例急性心肌梗死患者的临床资料进行回顾性分析。结果:在STEM中碎裂QRS波患者占总数的17.00%,明显低于病理性Q波者在STEMI中的占有率(P<0.05)。碎裂QRS波患者则在NSTEMI中占总数的45.64%,明显高于病理性Q波者在NSTEMI中的占有率(P<0.05)。结论:在对早期心梗患者进行临床诊断的过程中,碎裂QRS波作为诊断的一个全新指标能够尽早对患者的心梗情况进行有效诊断,且可以避免出现漏诊的情况。

Objective:To investigate the diagnostic value of fragmented QPS wave in patients with early myocardial infarction.Methods:The clinical data of150patients with acute myocardial infarction were analyzed retrospectively.Results:In STEM,patients with fragmented QRS waves accounted for17%,significantly lower than those of the pathological Q waves in STEMI(P<0.05).Patients with fragmented QRS wave accounted for45.64%of the total NSTEMI,significantly higher than those of pathological Q waves in NSTEMI(P<0.05).Conclusion:In the process of early myocardial infarction in patients with clinical diagnosis of fragmented QRS complex as a new index for the diagnosis as soon as possible,for effective diagnosis of myocardial infarction patients,and it can avoid the misdiagnosis.