摘要
目的探究并分析在陈旧性心肌梗死的诊断过程中使用心电图进行监测的临床作用效果和价值。方法挑选出我们医院2016年8月至2018年2月临床上诊断为陈旧性心肌梗死的患者共计63例作为观察组,又选择临床上诊断为非陈旧性心肌梗死的患者63例作为对照组,对两组患者都进行心电图监测,比较两组患者心电图的诊断结果和临床心电图状态,并进行统计分析。结果两组患者进行比较,观察组的准确度、敏感度和特异度相比于对照组更可观,两组患者差异在统计学上有显著性(P<0.05)。心电图进行比较,除了损伤性ST段上升没有明显差异,缺血性T波和坏死性Q波都有明显的下降程度,两组患者差异在统计学上有显著性(P<0.05)。结论对陈旧性心肌梗死进行心电图监测有较高的准确度、敏感度和特异度,在心电图状态上也可以为患者提供较高的诊断率,值得临床上沿用。
Objective to investigate and analyze the clinical effect and value of ECG monitoring during the diagnosis of old myocardial infarction. Methods a total of 63 patients who were diagnosed as old myocardial infarction in our hospital from August 2016 to February 2018 were selected as observation group, and 63 patients who were diagnosed as non old myocardial infarction were treated as control group, and ECG monitoring was performed on two groups of patients. The diagnosis results and clinical electrocardiogram status of ECG in two groups were compared and analyzed statistically. Results compared with the control group, the accuracy, sensitivity and specificity of the two groups were more significant than those in the controls, and the difference of the two groups was statistically remarkable（P〈0.05）. Compared with the ECG, there was no significant difference in the injury ST segment, both the ischemic T wave and the necrotic Q wave had obvious descending degree, the difference of the two groups was statistically significant（P〈0.05）. Conclusion ECG monitoring of old myocardial infarction has higher accuracy, sensitivity and specificity, and can provide high diagnostic rate for patients in ECG, which is worthy of clinical application.
作者
徐友兰
XU You-lan(ECG Room of Liyang branch of Jiangsu Provincial Hospital,Liyang,Jiangsu,213300)
出处
《智慧健康》
2018年第24期3-4,共2页
Smart Healthcare
关键词
心电图监测
陈旧性心肌梗死
疾病诊断
临床价值
ECG monitoring
Old myocardial infarction
Disease diagnosis
Clinical value
