杨淑君

【摘 要】目的：探讨常规心电图与动态心电图在冠心病伴心律失常中的诊断效果。方法：选取我院2019年5月至2021年6月就诊的100例冠心病伴心律失常患者为研究对象，所有患者均接受常规心电图与动态心电图检查，分析不同检查方法的阳性检出率及心电异常检出情况。结果：常规心电图检出阳性69例（占69.00%），动态心电图检出阳性86例（占86.00%），两组比较存在统计学差异（P<0.05）；动态心电图在室性早搏、房性早搏、室早二、三联律、房早二、三联律、短阵室上速、室速、房颤、房室传导阻滞、成对室性早搏中的检出准确率显著高于常规心电图，两组比较存在统计学差异（P<0.05）。结论：与常规心电图比较，动态心电图更有利于提高阳性检出率及心电异常检出率，在冠心病伴心律失常诊断中效果更优，值得临床应用推广。

【关键词】常规心电图；动态心电图；冠心病伴心律失常；心电异常检出率

Diagnostic effect of conventional electrocardiogram and Dynamic electrocardiogram in coronary heart disease with arrhythmia

Yang Shu-jun

Civil aviation Xi’an Hospital， Xi’an Shaanxi 710082，China

【Abstract】Objective：To explore the diagnostic effect of conventional electrocardiogram and dynamic electrocardiogram in coronary heart disease with arrhythmia. Methods：We selected 100 patients with coronary heart disease and arrhythmia who were treated in our hospital from May 2019 to June 2021 as the research objects. All patients received routine electrocardiogram and dynamic electrocardiogram examinations， and analyzed the positive detection rate and the detection of abnormal electrocardiogram of different examination methods.Results：69 cases （69.00%） were positive on conventional electrocardiogram， 86 cases （86.00%） were positive on dynamic electrocardiogram， there was a statistical difference between the two groups（P<0.05）； the detection accuracy of dynamic electrocardiogram in pairs of ventricular premature beats， atrial premature beats， ventricular early second， triple rhythm， atrial early second， triple rhythm， short array supraventricular tachycardia， ventricular tachycardia， atrial fibrillation， atrioventricular block， and ventricular premature beats in pairs is significantly higher conventional electrocardiogram， there are statistics between the two groups academic difference（P<0.05）. Conclusion：Compared with conventional electrocardiogram， dynamic electrocardiogram is more conducive to improving the positive detection rate and the detection rate of abnormal electrocardiogram. It is more effective in the diagnosis of coronary heart disease with arrhythmia， and it is worthy of clinical application and promotion.

【Key？Words】conventional electrocardiogram， dynamic electrocardiogram， coronary heart disease with arrhythmia， detection rate of abnormal electrocardiogram

冠心病伴心律失常是冠心病的常見类型，以心悸、胸闷、气短、左侧肩背部不适等为主要表现，常危及患者的生命安全，早期及时实施对症治疗是改善预后的关键所在[1]。心电图检查具有简单、无创、经济实惠的特点，是临床诊断心脏疾病的常用方法，但常规心电图漏诊率较高，具有一定局限性。动态心电图可持续24h检测患者心电信号，且敏感性及特异性均较高，在一定程度上可弥补常规心电图的不足[2]。为此本研究选取我院100例冠心病伴心律失常患者为研究对象，探讨常规心电图与动态心电图的诊断价值，现进行如下报道。……