DCG观察间断性ST段改变对冠心病的诊断意义  

DCG observation on coronary heart disease diagnostic clinical evaluation with intermittent st changs

作　　者：徐方芳[1,2,3] 孙辉平 丁瑞华[1,2,3] 郝桂荣 

机构地区：[1]宁夏医学院附属医院功能科 [2]宁夏煤炭职工医院心电图室 [3]宁夏干部疗养院

出　　处：《宁夏医学杂志》1999年第6期327-328,共2页Ningxia Medical Journal

摘　　要：目的为了观察间断性ＳＴ段改变对诊断冠心病的价值。方法对５３例冠心病待查组及３６例已明确冠心病（陈旧性心梗）的对照组进行２４小时ＤＣＧ监测ＳＴ段变化时的心率及Ｑ－Ｔ间期。结果待查组６０岁以上者ＳＴ段改变时心率与对照组及ＳＴ段改变时Ｑ－Ｔ间期与对照组无统计学意义（Ｐ＞０．０５），而６０岁以下的待查组与对照组均呈显著性差异（Ｐ＜０．０５）。结论间断性ＳＴ段改变，对６０岁以上患者有明确诊断价值。Objectives In order to observe CHD diagnostic evaluation with intermittent ST changes.Methods a comparsion study on 53 CHD test group and 36 CHD group (or old AMI group,or control group) by DCG observation on measure of Heart rate and Q-T interval with intermittent ST changes.Results with more than 60 years old,Heart rate and Q-T interval in the tese group do not differ with intermittent ST changs as compare with the control group ( P >0.05).But with less than 60 years old,the difference between two groups was sigrificant ( P <0.05).Conclustions Intermittent ST changs has clear-cut diagnostic significance with more than 60 years old.But it muse be careful to diagnose CHD by intermittent ST changes with less than 60 years old.

关 键 词：间断性 ST段改变 冠心病 动态心电图 

分 类 号：R541.404[医药卫生—心血管疾病] R540.41[医药卫生—内科学]