简介: 【摘要】 目的 分析常规心电图与动态心电图诊断冠心病伴心律失常患者的临床价值。方法 60例冠心病伴心律失常患者, 先进行常规心电图检查, 再进行动态心电图检查。观察比较患者常规心电图、动态心电图诊断检出率, 并统计异常心电监测检出情况。结果 60例患者常规心电图检出冠心病伴心律失常 34例, 检出率为 56.67%;动态心电图检出冠心病伴心律失常 55例, 检出率为 91.67%。动态心电图检出率显著高于常规心电图, 差异具有统计学意义( P<0.05)。动态心电图检查室性早搏, 房性早搏, 室性早搏成对, 房室传导阻滞, 短阵室上速, 室性早搏二、三联律及房性早搏二、三联律检出率均显著高于常规心电图, 差异具有统计学意义( P<0.05)。结论 动态心电图对冠心病伴心律失常及相关异常心电的诊断效果较好, 显著优于常规心电图, 可为该疾病诊断提供重要参考依据。 【关键词】 常规心电图 ;动态心电图 ;冠心病 ;心律失常 ;诊断价值 ;异常心电 [Abstract] Objective To analyze the clinical value of routine electrocardiogram and dynamic electrocardiogram in the diagnosis of coronary heart disease with arrhythmia. Methods 60 patients with coronary heart disease and arrhythmia were examined by routine electrocardiogram and then by dynamic electrocardiogram. The detection rate of routine ECG and Holter was observed and compared, and the detection rate of abnormal ECG was counted. Results 34 cases of coronary heart disease with arrhythmia were detected by routine ECG, the detection rate was 56.67%; 55 cases of coronary heart disease with arrhythmia were detected by dynamic electrocardiogram, the detection rate was 91.67%. The detection rate of Holter was significantly higher than that of routine ECG (P < 0.05). The detection rates of ventricular premature beat, atrial premature beat, pairs of ventricular premature beats, atrioventricular block, short supraventricular tachycardia, two and three laws of ventricular premature beat and atrial premature beat were significantly higher than those of routine electrocardiogram (P < 0.05). Conclusion dynamic electrocardiogram has a good effect in the diagnosis of coronary heart disease with arrhythmia and related abnormal ECG, which is significantly better than conventional ECG, and can provide important reference for the diagnosis of the disease.
简介:【摘要】目的 对水囊压迫联合欣母沛治疗产后出血患者的疗效及对其血流动力学指标的影响展开研究。方法 选取我院2018年8月-2020年7月期间收治的92例产后出血患者为研究对象,并采用随机分组法其分为两组,观察组与对照组各46例。对照组患者均接受单一欣母沛卡前列素氨丁三醇治疗,观察组则在对照组基础上施加水囊压迫疗法对患者展开治疗,对两组临床疗效以及血流动力学指标展开对比观察与分析。结果 对比发现观察组止血更早,出血量更少,治疗后血流动力学指标水平更理想,两组比较均呈显著差异性,存在统计学意义(P均<0.05)。结论 综上所述,欣母沛联合水囊压迫技术治疗产后出血能够缩短止血时间,降低出血量,同时有效改善患者血流动力相关指标水平,值得推广。
简介:【摘要】目的 分析硫酸镁联合硝苯地平治疗妊娠期高血压疾病患者的疗效及对血流动力学和尿蛋白水平的影响。方法 选取本院2020年2月到2020年11月期间收治的186例妊娠期高血压患者进行研究,采用随机电脑编号法把其分成观察B组和对照A组,各93例,对照A组使用常规药物+硫酸镁的药物治疗方法,观察B组使用常规药物+硫酸镁+硝苯地平的药物治疗方法,并对两组的临床治疗血流动力学水平和尿蛋白水平进行比较。结果 观察B组血压、全血黏度、全血还原黏度等血流动力学水平显著的低于对照A组,24h尿蛋白、尿钙黏蛋白、尿激肽原1等尿蛋白水平显著的低于对照A组,两组存在较大差异,有统计学意义(P<0.05)。结论 在临床中使用常规药物+硫酸镁+硝苯地平的药物治疗方法对妊娠期高血压患者进行治疗,能够取得理想的治疗效果,能够帮助患者稳定和降低血流动力学和尿蛋白水平,值得在临床上进行推广和应用。