心电图检查在心房纤颤诊断中的临床价值分析.docVIP

心电图检查在心房纤颤诊断中的临床价值分析 　　【摘要】 目的：探讨心电图检查应用在心房纤颤诊断中的临床价值。方法：筛选2013年10月-2014年1月笔者所在医院收治的心房纤颤患者310例作为研究对象。所有患者均经临床症状检查且均符合心房纤颤的诊断标准，对所有患者进行心电图检查并依据心电图结果进行诊断及病情评价，探讨心电图检查在心房纤颤诊断中的价值。结果：心电图的确诊符合率为98.06%（304/310），持续性房颤确诊符合率为98.27%（171/174），阵发性房颤为98.91%（91/92），永久性房颤为95.45%（42/44），并发风湿性心脏病符合率为91.30%（21/23），甲亢心脏病符合率为100%（11/11），高血压性心脏病符合率为92.68%（38/41），肺心病符合率为100%（16/16），与临床证实结果比较差异均无统计学意义（P0.05）。结论：应用心电图检查心房纤颤患者可提高该病的临床确诊率，同时可实现对病情及并发症的准确评价，从而指导临床心房纤颤的治疗 【关键词】 心电图； 心房纤颤； 临床诊断 中图分类号 R541.75 文献标识码 B 文章编号 1674-6805（2015）8-0066-02 【Abstract】 Objective：To investigate the clinical value of ECG examination application on diagnosis of atrial fibrillation.Method：310 patients with atrial fibrillation from October 2013 to January 2014 in our hospital were screened as research subjects.All patients were diagnosed by clinical examination and met the diagnostic criteria for atrial fibrillation，all patients were examined by ECG and based on ECG examination results for diagnosis and disease evaluation，and investigated the value of ECG in the diagnosis of atrial fibrillation.Result：The accordance rate of ECG diagnose was 98.06%（304/310），the diagnosis coincidence rate of persistent atrial fibrillation was 98.27%（171/174），the diagnosis coincidence rate of paroxysmal atrial fibrillation was 98.91%（91/92），the diagnosis coincidence rate of permanent atrial fibrillation was 95.45%（42/44），the coincidence rate of rheumatic heart disease was 91.30%（21/23），the coincidence rate of hyperthyroid heart disease was 100%（11/11），the coincidence rate of hypertensive heart disease was 92.68%（38/41），the coincidence rate of pulmonary heart disease was 100%（16/16），there were no significant differences compared with the results of clinical confirmed（P0.05）.Conclusion：ECG examination of atrial fibrillation patients can improve the clinical diagnosis of the disease，as the same time can achieve an accurate assessment of the condition and complications，which can guide clinical treatment of atrial fibrillation.