动态心电图与常规心电图对冠心病心肌缺血、心律失常诊断价值的比较  

Comparison of diagnostic value of dynamic electrocardiogram and conventional electrocardiogram for myocardial ischemia and arrhythmia in coronary heart disease

作　　者：杨法[1] 苏明兰 张斌[1] 李小珠[1] YANG Fa, SU Ming-lan2, ZHANG Bin, LI Xiao-zhu(1.Electrocardiogram Room,Zhanjiang Central People＇s Hospital,Guangdong Province,Zhanjiang 524045,China;2.Department of Obstetrics and Gynecology,Dongguan Kanghua Hospital,Guangdong Province,Dongguan 523080,Chin)

机构地区：[1]广东省湛江中心人民医院心电图室,广东湛江524045 [2]广东省东莞康华医院妇产科,广东东莞523080

出　　处：《中国当代医药》2018年第13期51-53,共3页China Modern Medicine

摘　　要：目的探讨动态心电图与常规心电图对冠心病心肌缺血、心律失常的诊断价值。方法分析2015年1月~2017年12月我院收治的140例冠心病患者的临床资料,依据检查方式不同分为A组(动态心电图)和B组(常规心电图),患者均通过冠状动脉造影进行确诊。结果 A组诊断心肌缺血的阳性率高于B组,A组诊断室性心律失常、房性心律失常、房室传导阻滞、短阵室上性心动过速的比例均明显高于B组,差异均有统计学意义(P<0.05)。结论动态心电图诊断冠心病心肌缺血、心律失常的阳性率明显高于常规心电图,值得临床推广应用。Objective To explore the diagnostic value of dynamic electrocardiogram（ECG） and conventional ECG on myocardial ischemia and arrhythmia in coronary heart diseases（CHD）.Methods The clinical data of 140 patients with CHD admitted into our hospital from January 2015 to December 2017 were analyzed.According to different examination methods,they were divided into group A（dynamic ECG） and group B（conventional ECG）.All patients were confirmed by coronary angiography.Results The positivity rate of diagnosis of myocardial ischemia in group A was higher than that of group B.The proportions of diagnosis of ventricular arrhythmia,atrial arrhythmia,atrioventricular conduction block,and paroxysmal supraventicuar tachycardiain in group A were significantly higher than those in group B,which were all displayed statistical differences（P〈0.05）.Conclusion The positivity rate of myocardial ischemia and arrhythmia diagnosed by dynamic ECG are significantly higher compared with those using conventional ECG,which is worthy of clinical application and promotion.

关 键 词：动态心电图 常规心电图 冠心病 心肌缺血 心律失常 

分 类 号：R541.4[医药卫生—心血管疾病]