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目的通过对一组疑似冠心病患者采用不用诊断方法进行分析,探讨动态心电图与常规心电图诊断冠心病的临床效果。方法选取2014年6月—2016年1月在陕州区第一人民医院就诊的疑似冠心病患者120例,患者分别采用动态心电图和常规心电图进行检查,对比冠状动脉造影检查结果,分析比较两种心电图检查的临床效果。结果动态心电图与常规心电图对冠心病的确诊率分别为62.20%和52.44%,两者比较差异无统计学意义(P>0.05)。动态心电图心律失常的检出率明显高于常规心电图,两者比较差异具有统计学意义(P<0.05)。结论动态心电图可以提高冠心病诊断的准确率,值得在临床上广泛的推广应用。
Objective To analyze the clinical effect of dynamic electrocardiogram and conventional electrocardiogram in diagnosing coronary heart disease by analyzing a group of suspected coronary heart disease patients without using diagnostic methods. Methods A total of 120 patients with suspected coronary heart disease were selected from the First People’s Hospital of Shanzhou District from June 2014 to January 2016. The patients were examined by dynamic electrocardiogram and conventional electrocardiogram. Comparing the results of coronary angiography, The clinical effect of ECG examination. Results The diagnostic rates of CHD and conventional electrocardiogram were 62.20% and 52.44% respectively, with no significant difference between the two groups (P> 0.05). The detection rate of ambulatory electrocardiogram arrhythmia was significantly higher than that of conventional electrocardiogram, the difference was statistically significant (P <0.05). Conclusion Holter monitoring can improve the accuracy of coronary heart disease diagnosis, it is worth widely in clinical application.