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目的探讨老年心脏病采用常规心电图和动态心电图诊断的临床价值。方法本次研究对象均为2014年7月—2016年2月驻马店市第一人民医院门诊收治的80例老年心脏病患者,回顾性分析其心电图临床资料,对比分析动态心电图和常规心电图诊断老年心脏病的检出率情况。结果动态心电图检测在阵发性房速、窦性心动过速、窦性心动过缓、室性心动过速、室性期前收缩、室上性期前收缩、阵发性心房纤颤、阵发性室上性心动过速及窦性静止与窦房传导阻滞等方面的检出率分别为27.5%、15.0%、16.3%、10.0%、55.0%、75.0%、6.3%、3.8%、10.0%,明显高于常规心电图,差异有统计学意义(P<0.05);而心房纤颤与房室传导阻滞检出率无统计学意义(P>0.05)。动态心电图阳性检出率明显高于常规心电图检查,差异有统计学意义(P<0.05)。结论动态心电图诊断老年心脏病,提高临床诊断检出率,效果显著,是临床诊断老年心脏病的理想方式,具有推广价值。
Objective To investigate the clinical value of conventional cardiogram and ambulatory electrocardiogram in the diagnosis of senile heart disease. Methods The subjects of this study were 80 elderly patients admitted to the First People’s Hospital of Zhumadian City from July 2014 to February 2016. The clinical data of the patients were retrospectively analyzed. The dynamic electrocardiogram and conventional electrocardiogram were used to diagnose the aged heart Disease detection rate of the situation. The results of ambulatory electrocardiography in the paroxysmal atrial tachycardia, sinus tachycardia, sinus bradycardia, ventricular tachycardia, ventricular contraction, supraventricular premature contraction, paroxysmal atrial fibrillation, array The prevalence of paroxysmal supraventricular tachycardia, sinus rest and sinoatrial block were 27.5%, 15.0%, 16.3%, 10.0%, 55.0%, 75.0%, 6.3%, 3.8% 10.0%, significantly higher than the conventional ECG, the difference was statistically significant (P <0.05); and the detection rate of atrial fibrillation and atrioventricular block was not statistically significant (P> 0.05). The positive rate of Holter monitoring was significantly higher than that of conventional electrocardiogram (P <0.05). Conclusion Holter monitoring of elderly patients with heart disease, improve the diagnostic rate of clinical diagnosis, the effect is significant, is an ideal way of clinical diagnosis of elderly heart disease, with the promotion of value.