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目的:分析冠心病(Coronary heart disease,CHD)心律失常(Arrhythmia)患者诊断中常规心电图(ECG)和动态心电图(DCG)两种诊断方式效果。方法:选取我院收治的CHD患者84例作为研究对象,分别使用ECG和DCG两种方式进行诊断,判断2种方法冠心病检测阳性率、心律失常检出率的情况。结果:动态组检测的阳性率为63.10%(53例),常规组为58.33%(49例),数据差异无统计学意义P>0.05;8项心律失常指标中房性/室上性早搏早发、方式传导阻滞等检出率差异无统计学意义,P>0.05;其余5项检出率差异显著,P<0.05。结论:冠心病心律失常患者的诊断时采用动态心电图在冠心病诊断阳性率和心律失常检出率方面均有一定的优势。
Objective: To analyze the effect of two kinds of diagnostic methods of routine electrocardiogram (ECG) and ambulatory electrocardiogram (DCG) in the diagnosis of patients with coronary heart disease (CHD) arrhythmia. Methods: Totally 84 CHD patients admitted to our hospital were enrolled in this study. ECG and DCG were used to diagnose CHD patients. The positive rate of coronary heart disease and the detection rate of arrhythmia were determined. Results: The positive rate of dynamic group was 63.10% (53 cases), while that of conventional group was 58.33% (49 cases), the difference was not statistically significant (P> 0.05). Among the 8 items of arrhythmia, atrial / supraventricular premature beat There was no significant difference in the detection rate of hair, conduction block and other methods, P> 0.05; the other five detection rates showed significant difference (P <0.05). Conclusion: The diagnosis of coronary heart disease patients using dynamic electrocardiogram in the diagnosis of coronary heart disease positive rate and arrhythmia detection rate has a certain advantage.