动态心电图和常规心电图对冠心病诊断对比分析.docVIP

动态心电图和常规心电图对冠心病诊断对比分析 　　[摘要] 目的 探讨动态心电图在冠心病诊断中的价值。方法 收集2012年6月―2014年12月在该院住院治疗的74例冠心病患者，均采用常规心电图和动态心电图检查。对常规心电图和动态心电图对心肌缺血和心律失常的诊断阳性率进行对比分析。 结果 动态心电图检查对心肌缺血的诊断阳性率明显高于常规心电图（P0.05）。 结论 与常规心电图相比，动态心电图也属于无创检查，但其也是一种持续性和动态性检查手段，可较全面的反映冠心病患者的心肌缺血状况，而且也能有效的对患者发生心律失常进行诊断，同时操作具有可重复性，在冠心病患者心肌缺血及心律失常的诊断中具有较高的临床应用价值。 　　[关键词] 动态心电图；常规心电图；冠心病 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）03（b）-0173-03 　　[Abstract] Objective To discuss the value of dynamic electrocardiogram in diagnosis of coronary heart disease. Methods 74 cases of inpatients treated in our hospital from June 2012 to December 2014 were collected and were given conventional electrocardiogram examination and dynamic electrocardiogram examination， the positive rates of conventional electrocardiogram and dynamic electrocardiogram in diagnosis of ischemia myocardial and arrhythmia were compared and analyzed. Results The positive rate of dynamic electrocardiogram in diagnosis of ischemia myocardial was obviously higher than that of conventional electrocardiogram（P0.05）. Conclusion Compared with the conventional electrocardiogram， the dynamic electrocardiogram belongs to the non-invasive detection， and it is a continuous and dynamic detection means， and it can not only comprehensively reflect the condition of myocardial ischemia in patients with coronary heart disease but can effectively diagnose the arrhythmia in patients， at the same time， the operation has repeatability， which is of higher clinical application value in diagnosis of ischemia myocardial and arrhythmia in patients with coronary heart disease. 　　[Key words] Dynamic electrocardiogram； Conventional electrocardiogram； Coronary heart disease 　　冠心病是心血管系统中常见的病变，好发于老年人群，其对患者身心健康和生活质量造成严重影响。目前，临床上对冠心病的诊断主要依赖与冠脉造影，但该方法为有创性检查，致使很多患者耐受力降低，同时检查费用昂贵等因素致使其应用受到了限制[1]。可见，如何提高冠心病诊断准确性和敏感性是广大临床医生重视的问题。动态心电图是通过长时间持续记录和编集分析人类心脏在活动和静息状态下心电图的变化，它是一种无创伤性检查方法，目前其诊断效果已在心血管领域得到了广泛认同[2]。动态心电图对非持续性心律失常具有极高的敏感性，因此可提高此类患者尤其是短暂性心肌缺血或无症状心肌缺血的检出率。该研究对2012年6月―2014年12月期间该院收治的74例冠心病患