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目的对肺结核患者的动态心电图以及其临床意义进行观察分析,为肺结核患者的临床检测以及治疗提供一定的参考。方法 45例接受动态心电图检查的肺结核住院患者作为研究组;另选取同期45例接受常规心电图检查的肺结核住院患者作为对照组。比较两组患者的心电图异常发生情况。结果研究组患者心电图检测窦性心动过速、窦性心动过缓、期前收缩、心房颤动及心动过速、肺型P波、右室肥大、ST-T改变、肢体导联低电压、顺钟向转位异常发生率均明显高于对照组,差异有统计学意义(χ2=21.6071、4.8649、13.1408、6.0494、5.0748、4.4056、5.4087、40.5000、6.7015,P<0.05)。结论在肺结核患者的治疗中进行动态心电图检测,密切关注患者动态心电图异常情况,可及时发现患者的病情变化,为肺结核治疗工作提供有价值的数据。
Objective To observe and analyze the dynamic electrocardiogram of pulmonary tuberculosis patients and its clinical significance, and provide some reference for the clinical detection and treatment of patients with pulmonary tuberculosis. Methods Forty-five hospitalized tuberculosis patients undergoing ambulatory electrocardiographic examination were selected as the study group. Another 45 hospitalized tuberculosis patients undergoing routine electrocardiogram examination during the same period were selected as the control group. Electrocardiogram abnormalities were compared between the two groups. Results Study group Electrocardiogram detected sinus tachycardia, sinus bradycardia, premature rupture, atrial fibrillation and tachycardia, pulmonary P wave, right ventricular hypertrophy, ST-T changes, limb lead low voltage, cis Clockwise transposition abnormalities were significantly higher than the control group, the difference was statistically significant (χ2 = 21.6071,4.8649,13.1408,6.0494,5.0748,4.4056,5.4087,40.5000,6.7015, P <0.05). Conclusions The dynamic electrocardiogram (ECG) detection in the treatment of tuberculosis patients pays close attention to the anomalies of the patient’s ambulatory electrocardiogram, and can detect the patient’s condition changes in time and provide valuable data for the treatment of tuberculosis.