心电图与超声心动图诊断原发性高血压病左心室肥厚的对比研究  

Contrastive study of Electrocardiogram and Echocardiography in diagnosis of Essential hypertension with Left ventricular hypertrophy

作　　者：成美英[1] 卜凡文[1] 

机构地区：[1]内蒙古医科大学第三附属医院心内科,内蒙古包头014010

出　　处：《疾病监测与控制》2015年第12期875-877,共3页Journal of Diseases Monitor and Control

摘　　要：目的探讨心电图与超声心动图诊断原发性高血压病左心室肥厚的应用价值。方法回顾性分析2013年7月～2014年12月我院收治的186例原发性高血压病患者的心电图和超声心动图资料。计算心电图和超声心动图诊断原发性高血压病左心室肥厚的检出率。依据超声心动图结果，选择高血压病伴左心室肥厚（A组）101例和高血压病不伴左心室肥厚（B组）85例。统计左心室肥厚心电图多项数据并计算敏感性。结果原发性高血压病左心室肥厚心电图检出率46．2％（86／186）：超声心动图检出率54．3％（101／186）。二者检出率比较，差异无统计学意义（P〉0．05）。心电图诊断原发性高血压病左心室肥厚时QRS波群电压指标敏感性较高，室壁激动时间次之，ST-T改变敏感性差。结论应用心电图与超声心动图诊断原发性高血压病左心室肥厚均有较好的效果，两者联合应用，及时和准确发现心肌肥厚，对于防治高血压病心血管意外事件意义重大。Objective To investigate the electrocardiogram and echocardiography in primary hypertensive left ventricular hypertrophy diagnostic value. Methods A total of 200 cases of essential hypertension in patients with electrocardiogram and echoeardiography were respectively analyzed during 2013.07-2014.12, and calculated its detection rate. According to results of echocardiography, essential hypertension with left ventricular hypertrophy were chosed and called A group and possessed 101 cases. Essential hypertension without left ventricular hypertrophy were chosed and called B group and possessed 85 cases, and its statistical analysis was done. Results Detection rate of electrocardiogram was 46.2% （86/186）. Detection rate of Echocardiography was 54.3% （101/186）. Both detection rate, there was not a significant statistical difference （P〉0.05）. For essential hypertension with left ventricular hypertrophy used electrocardiogram, the voltage of QRS was most sensitive, ventricular activation time came second, sensibility of ST-T was worst. Conclusion Electrocardiogram and echocardiography were provided with a good diagnosis effect in essential hypertension with left ventricular hypertrophy, and should be reasonable selection in combination with between, should discovered left ventricular hypertrophy in good time and accurately, to prevent and treat cardiovascular event means a great significance.

关 键 词：心电图 超声心动图 检出率 原发性高血压病 左心室肥厚 

分 类 号：R544.11[医药卫生—心血管疾病]