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《動(dòng)態(tài)心電圖與常規(guī)心電圖在臨床診斷中的價(jià)值以及臨床應(yīng)用》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、動(dòng)態(tài)心電圖與常規(guī)心電圖在臨床診斷中的價(jià)值以及臨床應(yīng)用黎惠貞佛山市南海區(qū)第二人民醫(yī)院內(nèi)科廣東佛山528251【摘要】目的：探討動(dòng)態(tài)心電圖與常規(guī)心電圖在臨床診斷中的價(jià)值，為臨床疾病的診斷提供依據(jù)。方法：選取本院2012年12月-2014年6月收治的256例需要進(jìn)行心電圖檢查的患者進(jìn)行研究，所有的患者均進(jìn)行常規(guī)心電圖及動(dòng)態(tài)心電圖的檢查，觀察兩組方法對(duì)疾病的檢出率及陽性率，并對(duì)相關(guān)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)處理。結(jié)果：動(dòng)態(tài)心電圖組對(duì)期前收縮、陣發(fā)性室上速、陣發(fā)性房顫、短陣室速、竇性停搏、房室傳導(dǎo)阻滯等各項(xiàng)指標(biāo)的檢出率顯著高于常
2、規(guī)心電圖組，差異均有統(tǒng)計(jì)學(xué)意義，P<0.05；動(dòng)態(tài)心電圖檢查組診斷的陽性率94.92%，明顯高于常規(guī)心電圖組的73.83%,兩組相比，差異有統(tǒng)計(jì)學(xué)意義，χ2=9.227,P<0.05；在心律失常的診斷上，動(dòng)態(tài)心電圖檢測(cè)室性期前收縮二、三聯(lián)律、房性期前收縮二、三聯(lián)律、室性成對(duì)期前收縮、房性成對(duì)期前收縮、陣發(fā)性室上速以及房室傳導(dǎo)阻滯的陽性率均高于常規(guī)心電圖，差異均有統(tǒng)計(jì)學(xué)意義，P<0.05；而在診斷室性頻發(fā)期前收縮和房性頻發(fā)期前收縮上，兩種檢測(cè)方法的陽性率相似，差異無統(tǒng)計(jì)學(xué)意義，P&g
3、t;0.05；動(dòng)態(tài)心電圖對(duì)心肌缺血診斷率顯著高于常規(guī)心電圖，差異有統(tǒng)計(jì)學(xué)意義，P<0.05。結(jié)論：動(dòng)態(tài)心電圖對(duì)于患者心電異常的檢出率和對(duì)疾病的陽性診斷率均顯著優(yōu)于常規(guī)心電圖組，值得臨床推廣?！娟P(guān)鍵詞】動(dòng)態(tài)心電圖；常規(guī)心電圖；臨床診斷【中圖分類號(hào)】R453【文獻(xiàn)標(biāo)識(shí)碼】B【文章編號(hào)】1674-8999(2015)9-0679-02Valueofdynamicelectrocardiogramandroutineelectrocardiograminclinicaldiagnosisandclinical
4、applicationLiHuizhen(ThedepartmentofMedicineoftheSecondPeople’sHospitalofNanhaiAreaofFoshanCity,Guangdong,528251)【Abstract】Objective:Tostudythevalueofdynamicelectrocardiogramandroutineelectrocardiograminclinicaldiagnosisandclinicalapplication.Itcould
5、provideabetterwaytodiagnosisthediseases.Methods:256patientsfromDecember2012toJune2014weretobestudied.Allpatientswereperformedroutineelectrocardiogramanddynamicelectrocardiograminspection,observationoftwogroupsofmethodsfordiseasedetectionrateandpositiverate
6、,andthedatawerestatisticallyanalyzed.Results:DynamicECGgroupdetectionrateofprematurecontraction,paroxysmalsupraventriculartachycardia,atrioventricularhypertrophyandischemicST-Tanomaly,paroxysmalatrialfibrillation,sinusarrestchangesofvariousindexesweresigni
7、ficantlyhigherthanthatofconventionalECGgroup,thedifferencewasstatisticallysignificant,P<0.05;dynamicelectrocardiograminspectiongroupdiagnosispositiveratewas94.92%,significantlyhigherthanthatofconventionalECGgroup73.83%,thetwogroupswerecompared,thediffer
8、encewasstatisticallysignificant,=9.227x2,P<0.05;inthediagnosisofarrhythmia,dynamicelectrocardiogramdetectionofventricularextrasystoletwo,trigeminy,atrialextrasystolestwo,bigeminy,ventricularcoupletsperiodb
