经食道心房调博术在宽QRS波心动过速标准化诊断中应用  

Application of Transesophageal Atrial Modulation in Standardized Diagnosis of Wide QRS Complex Tachycardia

作　　者：杨海英 YANG Hai-ying(Liangzhou Hospital,Wuwei City,Gansu Province)

机构地区：[1]甘肃省武威市凉州医院

出　　处：《中国标准化》2022年第16期252-254,共3页China Standardization

摘　　要：目的:探讨经食道心房调搏术(TEAP)在宽QRS波心动过速(WCT)标准化诊断中应用价值。方法:回顾性分析2018年1月~2020年3月于甘肃省武威市凉州医院就诊的86例WCT患者,依据诊断方式的不同将其分为参考组(n=43)、观察组(n=43)。参考组采用经食道联合体表心电图进行诊断,观察组采用TEAP进行诊断。对比两组诊断准确率、心动过速终止率。结果:观察组诊断准确率为97.67%,高于参考组的86.05%,差异具有统计学意义(χ^(2)=3.888,P<0.05);观察组心动过速终止率高于参考组,差异具有统计学意义(χ^(2)=4.440,P<0.05)。结论:对WCT患者采取TEAP进行诊断,能有效提高诊断准确率,还能改善患者心动过速状况。Objective:To investigate the application value of transesophageal atrial pacing(TEAP)in the standardized diagnosis of wide QRS tachycardia(WCT).Methods:A retrospective analysis of 86 patients with WCT who visited Liangzhou Hospital from January 2018 to March 2020 was divided into reference group(n=43)and observation group(n=43)according to different diagnostic methods.The reference group was diagnosed by transesophageal combined surface electrocardiogram,and the observation group was diagnosed by TEAP.The diagnostic accuracy and tachycardia termination rate between the two groups were compared.Results:The diagnostic accuracy rate of the observation group was 97.67%,which was higher than 86.05%of the reference group,and the difference was statistically significant(χ^(2)=3.888,P<0.05).The tachycardia termination rate of the observation group was higher than that of the reference group,and the difference was statistically significant.(χ^(2)=4.440,P<0.05).Conclusion:Using TEAP for diagnosis of WCT patients can effectively improve the diagnostic accuracy and improve the tachycardia status of patients.

关 键 词：经食道心房调搏术 宽QRS波心动过速 诊断 应用价值 

分 类 号：R541.7[医药卫生—心血管疾病]