QTC离散度的测定与冠心病和高血压心脏病的关系临床医学.docVIP

QTC离散度的测定与冠心病和高血压心脏病的关系临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：QTC离散度的测定与冠心病和高血压心脏病的关系临床医学 1 1 资料与方法 3 2 结果 3 3 讨论 4 文2：高血压左室肥厚与QT离散度的关系 5 1 对象与方法 5 2 结果 6 3 讨论 6 参考文摘引言： 7 原创性声明（模板） 8 文章致谢（模板） 8 正文 QTC离散度的测定与冠心病和高血压心脏病的关系临床医学 文1：QTC离散度的测定与冠心病和高血压心脏病的关系临床医学 ［Abstract］ Objective To investigate practical value of Q-TC dispeion（Q-Tcd） in coronary heart disease and hyperteive heart disease by analyzing the differences in Q-Tcd among healthy population，coronary heart disease and hyperfeive heart disease A retrospecitve analysis was performed on 50 cases of coronary heart disease and 50 cases of hyperteive heart disease with regard to Q-Tcd on the 12-lead ECG，as compared with those of 100 healthy There was signficant difference in Q-TC between the male and female of the control group（P），and the average Q-TC was 18 ms longer in the female than in the there was no significant difference in Q-Tcd between the male and female of the control group（P）.The minimal Q-TC values of both coronary heart disease and hyperteive heart disease groups were approximal to those of the control group（± ms），while the maximal Q-TC values were much longer（± ms）.The values of the Q-Tcd were coiderably greater in both the coronary heart disease and hyperteive heart disease groups than in the cotrol group（± ms ± ms，and ± ms vs. ± ms，respectively），both P Increased Q-Tcd proves to be the important electrocardiological indicator for the coronary heart disease and hyperteive heart disease，and also the valuable indicator for judging the disease condition and prognosis，and predicting the severe ventricular arrhythmia of both two diseases. ［Key words］ electrocardiography;coronary heart disease;hyperteive heart disease;Q-T interval;dispeion;ventricular arrhythmia Q-T离散度（Q-Td）及其校正值（Q-Tcd）是衡量潜在性心室兴奋性恢复不均一的指标［1］；心率校正Q-T离散度（Q-Tcd）是心电图导联Q-Tc变异的量度，它反映节段性心肌复极差异，与左室射血功能有关［2］。笔者将2006～2007年在我院住院的50例冠心病组与同期住院的50例高心病组（高血压心脏病组）及100例正常健康组的Q-Tcd测定分类进行对比。 1 资料与方法 一般资料 冠心病患者50例，男40例