动态心电图与常规心电图检测ST-T段改变情况的效果对比  

Comparison of the effect of dynamic electrocardiogram and conventional electrocardiogram in detecting ST-T segment changes

作　　者：林衍锦 朱嗣远 罗建文 LIN Yan-jin;ZHU Si-yuan;LUO Jian-wen(Fourth People's Hospital of Nanhai District,Foshan 528211,China)

机构地区：[1]佛山市南海区第四人民医院,528211

出　　处：《中国现代药物应用》2022年第20期76-78,共3页Chinese Journal of Modern Drug Application

摘　　要：目的对比在ST-T段改变检测中常规心电图和动态心电图检测的应用效果。方法144例心脏病患者,随机分成对照组和观察组,各72例。对照组采用常规心电图检测,观察组采用动态心电图检测。比较两组心电图结果。结果观察组V_(4)~V_(6) T波低平或倒置占比为65.28%,ST段缺血性压低占比为72.22%,V_(1)~V_(6) T波直立V_(1) T>V_(5) T占比为40.28%,均高于对照组的26.39%、33.33%、18.06%,差异有统计学意义(P<0.05)。结论在ST-T段改变检测中使用动态心电图检测效果明显优于常规心电图检测,能够有效检测出患者的心肌缺血情况,临床诊断价值高,建议大力推广使用。Objective To compare the application effect of dynamic electrocardiogram and conventional electrocardiogram in detecting ST-T segment changes.Methods A total of 144 patients with heart disease were randomly divided into control group and observation group,with 72 cases in each group.The control group was detected by conventional electrocardiogram,and the observation group was detected by dynamic electrocardiogram.The electrocardiogram results of the two groups were compared.Results In the observation group,hypotonic or inverted V4-V6 T waves accounted for 65.28%,ST segment ischemic depression accounted for 72.22%,V_(1)-V_(6) T wave upright V_(1) T>V_(5) T accounted for 40.28%,which were higher than 26.39%,33.33%,and 18.06%in the control group,and the differences were all statistically significant(P<0.05).Conclusion The use of dynamic electrocardiogram in the detection of ST-T segment changes is significantly better than conventional electrocardiogram,and can effectively detect myocardial ischemia in patients with high clinical diagnostic value,which is recommended to be vigorously promoted and used.

关 键 词：ST-T段改变 动态心电图 常规心电图 

分 类 号：R540.41[医药卫生—心血管疾病]