高心病患者病程不同阶段心电图、心脏彩超改变情况的临床意义  

Clinical significances of manifestations of ECG and echocardiography in different stages of hypertensive heart disease patients

作　　者：王敏 

机构地区：[1]唐山市中医医院功检科,河北唐山063000

出　　处：《医疗卫生装备》2016年第5期75-77,共3页Chinese Medical Equipment Journal

摘　　要：目的:集中探讨心电图和心脏彩超对不同阶段高心病患者的临床诊断意义。方法 :纳入2013年4月至2014年4月因高心病于心内科就诊的患者80例,对所有患者分别采用心电图和心脏彩超2种方法进行检查,前种方法为对照组,后种方法为观察组,通过图像变化结合临床指征对疾病进行鉴别诊断。结果:与对照组相比,观察组在单纯性的左心室肥厚、左心室肥厚伴劳损以及心肌缺血的诊出率具有明显优势,差异具有统计学意义(P<0.05);2种方法对于心律失常的诊出率的敏感程度差异不大,不具有统计学意义(P>0.05)。结论:因采用心脏彩超检查对于高心病的诊出率更高,同时对于血管和心室腔病变的特异性更强,有利于对症治疗,值得在临床的鉴别诊断中推广使用。Objective To explore the clinical significances of the manifestations of ECG and echocardiography in different stages of hypertensive heart disease patients. Methods Totally 80 hypertensive heart disease patients from April 2013 to April 2014 underwent examinations by ECG in a control group and echocardiography in an observation group, and differential diagnoses were carried out based on the manifestations combined with clinical indications.Results Echocardiography behaved significantly better than ECG in detecting simple left ventricular hypertrophy, left ventricular hypertrophy with strain as well as myocardial ischemia （P〈0.05）, while the two examining methods were not statistically different for diagnosing arrhythmia （P〉 0.05）. Conclusion Eehocardiography gains advantages in diagnosing hypertensive heart disease and has high specificity for lesions at vessels and ventricular chambers, and thus is worthy popularizing clinically for differential diagnosis.

关 键 词：高心病 病程阶段 心电图 心脏彩超 

分 类 号：R541.3[医药卫生—心血管疾病] R445.1[医药卫生—内科学] R540.41[医药卫生—临床医学]