研究比较动态心电图与常规心电图在临床诊断中的价值

Study and comparison of the value of dynamic electrocardiogram and routine electrocardiogram in clinical diagnosis

目的探讨临床诊断工作中实施常规心电图及动态心电图的效果差异。方法选取2016年3月～2018年2月在我院进行心电图检测患者共298例,本组患者分别行常规心电图以及动态心电图诊断,对比两种诊断方式阳性率差异,同时采用统计学软件对两种诊断方式的结果进行统计分析。结果常规心电图诊断阳性率为35.91%,相较动态心电图检测阳性率(55.70%)显著更低,差异有统计学意义(P <0.05);动态心电图对患者房室阻滞、窦房阻滞、短阵性房颤、窦性心动过速及过缓、期前收缩、室上性心动过速、缺血性ST-T改变检出率相比常规心电图更高,差异有统计学意义(P <0.05)。结论动态心电图与常规心电图相比具有更高的检出率,因此可对其进行更深层次的研究,并在临床中对其进行推广。

Objective To explore the difference in the effect of dynamic electrocardiogram and routine electrocardiogram in clinical diagnosis. Methods 298 patients who underwent electrocardiogram examination in our hospital from March 2016 to February 2018 were selected. Patients were all given routine electrocardiogram and dynamic electrocardiogram for diagnosis. Difference in the positive rates of two diagnostic methods was compared. Diagnostic results of the two diagnostic methods were calculated and compared by statistical software. Results The positive rate of diagnosis of conventional electrocardiogram was 35.91%, which was significantly lower than that of dynamic electrocardiogram 55.70%. The difference in data was significant and the difference was statistically significant (P < 0.05). Detection rates of atrioventricular block, sinoatrial block, short-term atrial fibrillation, sinus tachycardia and bradycardia, premature beat, supraventricular tachycardia and ischemic ST-T change of dynamic electrocardiogram were higher than those of the routine electrocardiogram. The difference in data was significant and the difference was statistically significant (P < 0.05). Conclusion Dynamic electrocardiogram has a higher detection rate than conventional electrocardiogram, so it can be further studied and promoted in clinical practice.