动态心电图ST-T改变诊断冠心病的临床价值研究  

The Value between the Dynamic Change in Electrocardiogram ST Regularity and the Diagnosis of Coronary Heart Disease

作　　者：王月文[1] 寇锋军 孙更新[1] 王婷[1] 李秀翠[1] 

机构地区：[1]西安医学院第二附属医院功能科,陕西西安710038

出　　处：《现代生物医学进展》2016年第33期6567-6569,共3页Progress in Modern Biomedicine

摘　　要：目的：探讨心电图ST-T的动态改变对临床诊断冠心病的实用价值。方法：选取2013年10月-2015年10月在我院诊断治疗的有ST-T段改变的患者,观察并记录所有患者的心电图状态,并重点监测ST-T改变的动态情况,并回归性分析及对比检测结果。结果：心电图ST-T改变有动态变化率的冠心病确诊率为67.9%,明显高于无动态变化组32.3%的确诊率。两组确诊率具有统计学意义（P〈0.05）。结论：心电图有动态改变的ST-T段改变能提高患者冠心病的临床确诊率,值得进一步推广应用。Objective： Study the dynamical change circuitry ST- T the value of the diagnosis of coronary heart disease（CHD）.Methods： Selection in October 2013 to October 2015 in our hospital diagnosis and treatment of patients with ST-t segment changes, observe and record all patients electrocardiogram（ecg） state, and focus on monitoring the dynamic situation of ST-t change. Regression analysis and comparison test results. Results： Ecg ST-t change with the variation of the dynamic, coronary heart disease diagnosis rate was 67.9%, significantly higher than the group without dynamic change the positive rate of 32.3%. Two groups of diagnosis rate was statistically significant（P〈0.05）. Conclusion： Electrocardiogram（ecg） with the dynamic change of ST- T segment changes can improve the clinical diagnosis rate of patients with coronary heart disease, is worth further popularization and application.

关 键 词：心电图ST-T段改变 冠心病 临床价值 

分 类 号：R540.41[医药卫生—心血管疾病] R541.4[医药卫生—内科学]