动态心电图与常规心电图在临床诊断中的价值以及临床应用.docVIP

精品论文 参考文献 动态心电图与常规心电图在临床诊断中的价值以及临床应用 黎惠贞 　　佛山市南海区第二人民医院内科 广东佛山 528251 　　【摘 要】目的：探讨动态心电图与常规心电图在临床诊断中的价值，为临床疾病的诊断提供依据。方法：选取本院2012年12月-2014年6月收治的256例需要进行心电图检查的患者进行研究，所有的患者均进行常规心电图及动态心电图的检查，观察两组方法对疾病的检出率及阳性率，并对相关数据进行统计学处理。结果：动态心电图组对期前收缩、阵发性室上速、阵发性房颤、短阵室速、窦性停搏、房室传导阻滞等各项指标的检出率显著高于常规心电图组，差异均有统计学意义，Plt;0.05；动态心电图检查组诊断的阳性率94.92%，明显高于常规心电图组的73.83%，两组相比，差异有统计学意义，chi;2 =9.227，Plt;0.05；在心律失常的诊断上，动态心电图检测室性期前收缩二、三联律、房性期前收缩二、三联律、室性成对期前收缩、房性成对期前收缩、阵发性室上速以及房室传导阻滞的阳性率均高于常规心电图，差异均有统计学意义，Plt;0.05；而在诊断室性频发期前收缩和房性频发期前收缩上，两种检测方法的阳性率相似，差异无统计学意义，Pgt;0.05；动态心电图对心肌缺血诊断率显著高于常规心电图，差异有统计学意义，Plt;0.05。结论：动态心电图对于患者心电异常的检出率和对疾病的阳性诊断率均显著优于常规心电图组，值得临床推广。 　　【关键词】动态心电图；常规心电图；临床诊断 　　【中图分类号】R453 【文献标识码】B 【文章编号】1674-8999（2015）9-0679-02 　　Value of dynamic electrocardiogram and routine electrocardiogram in clinical diagnosis and clinical application 　　Li Huizhen 　　（The department of Medicine of the Second Peoplersquo;s Hospital of Nanhai Area of Foshan City, Guangdong, 528251） 　　【Abstract】Objective: To study the value of dynamic electrocardiogram and routine electrocardiogram in clinical diagnosis and clinical application. It could provide a better way to diagnosis the diseases. Methods: 256 patients from December 2012 to June 2014 were to be studied. All patients were performed routine electrocardiogram and dynamic electrocardiogram inspection, observation of two groups of methods for disease detection rate and positive rate, and the data were statistically analyzed. Results: Dynamic ECG group detection rate of premature contraction, paroxysmal supraventricular tachycardia, atrioventricular hypertrophy and ischemic ST-T anomaly, paroxysmal atrial fibrillation, sinus arrest changes of various indexes were significantly higher than that of conventional ECG group, the difference was statistically significant, Plt;0.05; dynamic electrocardiogram inspection group diagnosis positive rate was 94.92%, significantly higher than that of conventional ECG group 73.83%, the two groups were compared, the differe