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目的探讨心电图及超声心动图在老年急性缺血性脑血管病(AICD)患者诊断中的临床效果。方法选取2014年8月—2016年9月郑州市中心医院59例AICD老年患者作为观察组,另取同期郑州市中心医院健康体检者57例作为对照组。均于入院24h内行常规十二导联心电图记录,并于48h内对观察组再行超声心动图检查。对比两组心电图异常发生率及心脏病合并率,并统计观察组超声心动图异常率。结果观察组心电图异常率74.58%显著高于对照组3.51%,且心脏病合并率为35.59%,对照组均无心脏病,差异有统计学意义(P<0.05);观察组超声心动图异常率为79.66%(47/59),主要表现为瓣膜异常、室壁运动异常、心功能减退、左心房增大、左室肥厚等。结论对老年AICD患者进行心电图与超声心动图检查,有利于对疾病作出有效、准确诊断,进而为治疗提供重要客观依据。
Objective To investigate the clinical effects of electrocardiogram and echocardiography in the diagnosis of elderly patients with acute ischemic cerebrovascular disease (AICD). Methods A total of 59 elderly patients with AICD in Zhengzhou Central Hospital from August 2014 to September 2016 were selected as the observation group. Another 57 healthy subjects in Zhengzhou Central Hospital were selected as the control group. All patients underwent routine 12-lead electrocardiogram recording within 24h of admission and echocardiography was performed on the observation group within 48 hours. The incidences of ECG abnormalities and heart disease were compared between the two groups, and the echocardiographic abnormalities were observed in the observation group. Results The abnormal rate of electrocardiogram in observation group was significantly higher than that in control group (74.58% vs 3.51%, and the rate of heart disease was 35.59%). There was no significant difference in control group (P <0.05). The abnormal rate of echocardiography in observation group was 79.66% (47/59), the main manifestations of valve abnormalities, abnormal wall motion, cardiac dysfunction, left atrial enlargement, left ventricular hypertrophy and so on. Conclusion Electrocardiogram and echocardiography in elderly patients with AICD are helpful to make an effective and accurate diagnosis of the disease and provide an important objective basis for the treatment.