通讯作者：耶闯，1977年7月，男，汉族，陕西西安人，现任西京医院心脏内科心电图室技师，本科。研究方向：心脏内科心电图。

摘要： 目的：比较分析在冠心病中采用动态心电图、常规心电图的临床价值。方法：选择2018年10月-2020年1月这段时间来我院治疗冠心病的患者38例，分成两组，即参照组、研究组，每组19例。参照组采用常规心电图检查，研究组采用动态心电图检查，观察两组患者房性心律失常、室性心律失常、房室传导阻滞、短阵室上速、心肌缺血阳性检出率。结果：研究组心肌缺血阳性检出率高于参照组（P < 0.05）。研究组房性心律失常检出率高于参照组（P < 0.05），研究组室性心律失常检出率高于参照组（P < 0.05），研究组房室传导阻滞检出率高于参照组（P < 0.05），研究组短阵室上速检出率高于参照组（P < 0.05）。结论：在冠心病诊断中采用动态心电图检查对房性心律失常、室性心律失常、房室传导阻滞、短阵室上速、心肌缺血阳性的检出率均较高，相对于常规心电图准确性较高，适合临床推广应用。

关键词：冠心病;动态心电图;常规心电图;临床价值

Abstract： Objective： To compare and analyze the clinical value of dynamic electrocardiogram and routine electrocardiogram in coronary heart disease. Methods： 38 patients with coronary heart disease in our hospital from October 2018 to January 2020 were selected and divided into two groups， namely the reference group and the study group， with 19 cases in each group. The control group was given routine ECG examination， and the study group was given dynamic ECG examination. The positive detection rates of atrial arrhythmia， ventricular arrhythmia， atrioventricular block， short supraventricular tachycardia and myocardial ischemia were observed. Results： the positive rate of myocardial ischemia in the study group was higher than that in the reference group （P < 0.05）. The detection rate of atrial arrhythmia in the study group was higher than that in the reference group （P < 0.05）， the detection rate of ventricular arrhythmia in the study group was higher than that in the reference group （P < 0.05）， the detection rate of atrioventricular block in the study group was higher than that in the reference group （P < 0.05）， and the detection rate of short supraventricular tachycardia in the study group was higher than that in the reference group （P < 0.05）. Conclusion： in the diagnosis of coronary heart disease， the positive detection rate of dynamic electrocardiogram for atrial arrhythmia， ventricular arrhythmia， atrioventricular block， short array supraventricular tachycardia and myocardial ischemia is higher than that of conventional electrocardiogram， which is suitable for clinical application.

Keywords： Coronary heart disease; dynamic electrocardiogram; routine electrocardiogram; clinical value

一、前言

冠心病全稱为冠状动脉粥样硬化性心脏病，主要是冠状动脉发生粥样硬化引起管腔狭窄或闭塞导致心肌缺血、缺氧等不适，是临床较常见的一种疾病，主要以40岁以上人群发病率较高，男性发病相对于早于女性。随着我国生活水平的提高，人们寿命不断延长，冠心病的发病率不断上升，严重威胁人们的健康生活[1]。目前临床一般采用常规心电图检测冠心病，但是通过大量临床实践发现，采用常规心电图检测易漏诊、误诊，主要由于冠心病早期症状不典型。……