用动态心电图和常规心电图诊断冠心病心律失常的效果对比  

Using Dynamic Electrocardiogram and Conventional Electrocardiogram Diagnosis Effect of Arrhythmia in Coronary Heart Disease

作　　者：韩蓉[1] 王蕾蕾[1] 

机构地区：[1]巴彦淖尔市医院心电图室,内蒙古巴彦淖尔015000

出　　处：《中外医疗》2016年第31期193-195,共3页China & Foreign Medical Treatment

摘　　要：目的对比冠心病心律失常应用动态心电图及常规心电图诊断的结果。方法随机将该院于2014年7月—2015年12月收治的116例冠心病心律失常患者分为A组和B组,分别应用动态心电图和常规心电图诊断,观察诊断结果。结果 A组心肌缺血阳性检出率67.2%,B组心肌缺血阳性检出率56.9%,差异无统计学意义(P>0.05);A组与B组患者室性早搏二三联律、房性早搏二三联律、房性早搏成对、室性早搏成对、短阵室上速检出率分别为43.1%、46.6%、23.5%、25.9%、24.1%,24.1%、25.9%、8.6%、10.3%、6.9%,A组均高于B组,差异具有统计学意义(P<0.05)。结论与常规心电图相比,动态心电图诊断冠心病心律失常的准确率更高,应在临床中进一步的推广应用。Objective To compare coronary heart disease arrhythmia application of dynamic electrocardiogram and conventional electrocardiogram diagnosis results. Methods Randomly to be received in our hospital 116 cases of coronary heart disease patients from July 2014 to December 2015 with arrhythmia were divided into group A and group B, application of dynamic electrocardiogram and conventional electrocardiogram diagnosis respectively, observe the diagnosis. Results The positive rate of myocardial ischemia group A was 67.2%, positive rate myocardial ischemia group B was 56.9%, there was no statistically significant difference（P〈0.05）; Group A and group B patients with ventricular premature beat two triple law, room premature beat two triple law, room premature beat, ventricular premature beat in pairs in pairs, short A room on speed and detection rate of 43.1%, 46.6%, 23.5%, 25.9%, 24.1%, 24.1%, 25.9%, 8.6%, 10.3%, 6.9%,group were higher than in group B, group A statistically significant difference（P〈0.05）. Conclusion Compared with the conventional electrocardiogram, higher accuracy of arrhythmia in dynamic electrocardiogram in the diagnosis of coronary heart disease, should further popularization and application in clinical.

关 键 词：动态心电图 常规心电图 冠心病 心律失常 

分 类 号：R541.4[医药卫生—心血管疾病]