常规心电图与动态心电图对冠心病心律失常的诊断价值比较  

Comparison of the diagnostic value between ECG and dynamic ECG for coronary heart disease arrhythmias

作　　者：张红梅[1] 王学工[2] 李艳玲[3] 

机构地区：[1]日照市中医医院心电图室, 山东省日照276800 [2]日照市中医医院心血管内科, 山东省日照276800 [3]日照市中医医院理疗科, 山东省日照276800

出　　处：《中国基层医药》2012年第17期2592-2593,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨并比较常规心电图与动态心电图用于冠心病心律失常诊断的临床价值。方法选取冠一tD病患者73例，均行常规心电图与动态心电图监测，以常规心电图为对照组、动态心电图为观察组，比较两组冠心病心律失常检出阳性率及具体检出结果。结果观察组患者心律失常检测阳性率为75．3％，明显高于对照组的54．8％（x2=6．78，P〈0．05）；观察组室性期前收缩二、三联律，室性期前收缩成对，房性期前收缩二、三联律，房性期前收缩成对，房室传导阻滞及短阵室上速等检出阳性率明显高于对照组（均P〈0．05）。结论与常规心电图相比，动态心电图对于冠心病心律失常临床检出阳性率高。Objective To investigate and compare the clinical values of routine electrocardiogram and dynamic electrocardiogram in arrhythmia in coronary heart disease diagnosis. Methods 73 patients with coronary heart disease were collected and monitored by routine electrocardiogram and dynamic electrocardiogram, and two groups were established including control group using routine electrocardiogram and observation group using dynamic electro- cardiogram. The positive diagnosis rate and the specific diagnosis diresuhs of arrhythmia in coronary heart disease of both groups were compared. Results The positive diagnosis rate of arrhythmia in coronary heart disease of observa- tion group（75.3% ） was significantly higher than that of control group （54.8%） （ X2 = 6.78, P 〈 0.05 ）. And the positive diagnosis rate of the observation group was also significantly higher than that of the control group in ventricu- lar premature beats two, triple law, pairs of premature ventricular contractions, atrial premature beats two, triple law, atrial premature beats in pairs, atrioventricular block and paroxysmal ventricular tachycardia （ all P 〈 0.05 ）. Conclusion Compared with routine electrocardiogram,the dynamic electrocardiogram in arrhythmia in coronary heart disease diagnosis could obtain higher positive diagnosis rate, and it is worthy of clinical application.

关 键 词：常规心电图 动态心电图 冠心病 心律失常 

分 类 号：R541.7[医药卫生—心血管疾病]