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1、ModDiagnTreat現(xiàn)代診斷與治療2015Apr26(8)·168l·女性冠心病患者動態(tài)心電圖與冠脈造影對比研究．論著．葉金枝，周榮輝2譚曉暉，趙舜萍(1．江門市新會區(qū)人民醫(yī)院心電圖室，廣東江門529100；2．江門市新會區(qū)人民醫(yī)院內(nèi)科．廣東江門529100)ComparativeStudyofWomenwithCoronaryHeartAmbulatoryElec-trocardiogramandCoronaryAngiographyYEJing—zhi1,ZHOURong—hui2,TANXiao—hui2，ZHAOShun—ping(J
2、iangmenCityXinhuiDistrictPeopleHospital1．ECGroom,2．Medical,Jiangmen529100China)Abstract：ObjectiveToexploreandanalyzethecomparisonandstudyofdynamicelectrocardio-gramandcoronarographyinfemalepatientswithcoronaryheartdisease．MethodsSelected124coronaryheartdiseasepatientsfromDecem
3、ber2013toDecember2014inourhospital，theyweredividedintotestgroupandcontrolgroup，with62casesineachgroup．Testgroupuseddynamicelectrocardiogram，controlgroupusedcoronarography，observedtwogroups’positiverateandcom—plicationsbydiferentmethod，analyzedtheresults．ResultsThepositiverateo
4、fdynamicelectro-cardiogramonleftanteriordescendingbranchwas82．26％，anditwas30．65％incontrolgroupbyuseofcoronarography．Thepositiverateonleftcircumflexarterywas67．74％，anditwas33．87％incontrolgroup，testgroupwashigherthancontrolgroup，P<0．05，withstatisticalsignificance．Theoccurrencera
5、teofdynamicelectrocardiogramondiagnosinganeurysmspuriumwas8．06％，anditwas40．32％incontrolgroup，testgroupwaslowerthancontrolgroup，P<0．05，withstatisticalsignif-icanoe．ConclusionsDynamicelectrocardiogramcanimprovethedetectionrateofCoronaryheartdisease，especialtotheleftanteriordesce
6、ndingbranchandleftcircumflexartery，andhaslowOC-eurencerateonaneurysmspurium，decreasemisdiagnosisrate，itisworthyofpromotioninclinica1．Keywords：Women；Coronaryheartdisease；Dynamicechocardiography；Coronaryangiography摘要：目的探究并分析女性冠心病患者動態(tài)心動圖與冠脈造影的對比。方法選取我院2013年12月2014年12月收治的124例冠心病患者
7、，采用隨機數(shù)字表法分成試驗組和對照組，每組62例患者。試驗組患者采用動態(tài)心電圖的診斷方案，對照組患者采用冠脈造影的診斷方案，觀察兩組患者經(jīng)不同方法檢測的陽性率和并發(fā)癥發(fā)生情況．對結(jié)果進行分析。結(jié)果試驗組患者采用動態(tài)心電圖診斷對左前降支阻塞陽性率為82．26％．對照組采用冠脈造影陽性率為30．65％，試驗組患者診斷左回旋支陽性率為67．74％，對照組陽性率為33．87％，試驗組高于對照組(P<0．05)。具有統(tǒng)計學(xué)意義。試驗組患者采用動態(tài)心電圖的方法診斷后假性動脈瘤的發(fā)生率為8．06％．對照組患者為40．32％．試驗組診斷率明顯低于對照組(P<0．0
8、5)，具有統(tǒng)計學(xué)意義。結(jié)論采用動態(tài)心電圖的方法檢測冠心病可提高檢測的陽性率，尤其對左前降支和左回旋支的診斷更為準(zhǔn)確，且并發(fā)
