摘要
目的研究心电图联合心脏彩超诊断高血压性心脏病的临床意义。方法90例高血压性心脏病患者,按照随机数字表法分为对照组和观察组,各45例。对照组患者接受心电图诊断,观察组患者接受心电图联合心脏彩超检查。比较两组患者检查结果、临床诊断阳性率。结果对照组患者检出左心室肥厚/左心房增大11例(24.44%),心律失常10例(22.22%),ST-T改变4例(8.89%);观察组患者检出左心室肥厚/左心房增大39例(86.67%),心律失常21例(46.67%),ST-T改变19例(42.22%)。观察组患者左心室肥厚/左心房增大、心律失常、ST-T改变检出率均高于对照组,差异具有统计学意义(P<0.05)。对照组临床诊断阳性25例,阴性20例,临床诊断阳性率为55.56%;观察组临床诊断阳性37例,阴性8例,临床诊断阳性率为82.22%。观察组临床诊断阳性率高于对照组,差异有统计学意义(P<0.05)。结论与单纯心电图诊断相比,心电图联合心脏彩超诊断高血压性心脏病效果更佳,诊断阳性率更高,值得临床大力推广。
Objective To study the clinical significance of electrocardiogram combined with echocardiography in the diagnosis of hypertensive heart disease.Methods A total of 90 patients with hypertensive heart disease were divided into control group and observation group according to the random numerical table,with 45 cases in each group.Patients in the control group were examined by electrocardiogram diagnosis,and patients in the observation group were examined by electrocardiogram combined with echocardiography.The examination results and the positive rate of clinical diagnosis were compared between the two groups.Results In the control group,11 cases(24.44%)of left ventricular hypertrophy/left atrial enlargement,10 cases(22.22%)of arrhythmia and 4 cases(8.89%)of ST-T changes were detected.In the observation group,39 cases(86.67%)of left ventricular hypertrophy/left atrial enlargement,21 cases(46.67%)of arrhythmia and 19 cases(42.22%)of ST-T changes were detected.The detection rate of left ventricular hypertrophy/left atrial enlargement,arrhythmia and ST-T changes of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).In the control group,25 cases were clinically positive and 20 case were negative,and the positive rate of clinical diagnosis was 55.56%;in the observation group,37 cases were clinically positive and 8 cases were negative,and the positive rate of clinical diagnosis was 82.22%.The positive rate of clinical diagnosis in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with electrocardiogram alone,electrocardiogram combined with echocardiography is more effective in diagnosing hypertensive heart disease and has a higher positive diagnostic rate,which is worth promoting in clinical practice.
作者
李玉
LI Yu(People’s Hospital of Changhai County,Dalian 116500,China)
出处
《中国现代药物应用》
2022年第4期115-118,共4页
Chinese Journal of Modern Drug Application
关键词
心电图
心脏彩超
高血压性心脏病
临床意义
Electrocardiogram
Echocardiography
Hypertensive heart disease
Clinical significance
