摘要
应用高频心电图（HFECG）技术对48例川崎病患儿和121例正常儿童作对照检测，进行川崎病致心脏损害的敏感性研究，其结果表明：①川俯病组六导联组合切过计数的阳性率（79．16％）与正常组相比，有非常显著性差异（P＜0．01）．②川崎病组在病程不同时期内高频心电图均表现出不同程度的异常，尤在1～8周内明显异常（P＜0．01）．③高频心电图检测阳性率高于二维超声心动图（2DE），尤在患病1～8周内，两组比较有显著性差异（P＜0．01）．④两对照组HFECG切迹数分布规律均为中间部＞终末都＞起始部，而以起始部具有显著性差异（P＜0．01）．
To study the sensitivity of myocardial injury caused by Kawasaki disease, 48 Kawasa-ki diseased children were contrasted with 121 normal children (control group) using High frequency elec trocard iogra ph y (HFECG ) techniques. Result: ①. The positive rate of notch numbers in HFECG with 6 leads in kawasalci disease group was 79. 16%. There was a significant difference between these two groups (P< 0. 01) ②. The Kawasaki diseased group showed varying degrees of abnormal HFECG with the development of disease. Especially at the beginning of illness (1~8 weeks)the dif-ference between the two groups was very significant (P<0. 01). Though the positive rate and notch numbers were reduced with the development of disease, they were still higher than those of the con-trol group ③. The positive rate of myocardial injury cases in HFECG were more than that in two di-mensional echocardiography (2DE). (P<0. 01), especially at the beginning of disease (1~8weeks).④. Notch numbers distribution in QRS waves of the two groups was as follows: the middle > the end > the beginning. The difference of begining between the two groups was very significant (P<0.01). Our findings suggest that HFECG technique is highly sensitive in the diagnosis of myocardial in-jury and is very useful to detect the extent of the myocardial injury as well as the development of dis-ease and so on.
出处
《泸州医学院学报》
1996年第2期100-103,共4页
Journal of Luzhou Medical College
基金
四川省科委科学技术基金
关键词
高频
心电图
川崎病
敏感性
心脏损害
儿童
High frequency ECG Kawasaki disease Sensitivity Myocardial injury
