摘要
目的 探讨心脏B超和心电图在高血压性心脏病诊断中的应用价值.方法 选取2015年5月—2016年5月泗阳县中医院收治的高血压性心脏病患者32例,均行心脏B超和心电图检查,比较分析两种诊断方法的检出率和检查结果.结果 心脏异常B超检查检出率为96.88%,心电图心脏异常检出率为75.00%,差异有统计学意义(P〈0.05);两组左心室扩大、左心房增大以及主动脉退行性改变的检出率比较,心脏B超检出率分别为34.38%、43.75%和40.63%,心电图检出率分别为12.50%、9.38%和0.00%,心脏B超检出率明显高于心电图,差异有统计学意义(P〈0.05).结论 高血压性心脏病患者实施心脏B超诊断,具备较高的检出敏感性,更有利于该病诊断,具有临床推广和应用价值.
Objective To study the application value of cardiac ultrasound and ECG in the diagnosis of hypertensive heart disease. Methods Thirty-two cases of patients with hypertensive heart disease in Siyang Hospital of Traditional Chinese Medicine from May, 2015 to May, 2016 were selected and the patients were all examined with cardiac ultrasound and ECG. The detection rate and the examination results of two kinds of diagnostic methods were compared and analyzed. Result The detection rate of heart abnormalities by B ultrasonic examination was 96.88%, while the detection rate of ECG cardiac abnormalities was 75.00%. The difference was statistically significant (P〈 0.05). The detection results of left ventricular enlargement, left atrial enlargement and aortic degenerative changes of cardiac ultrasound were 34.38%, 43.75% and 40.63% respectively, while those of ECG were 12.50%, 9.38% and 0.00% respectively. The examination rate of cardiac ultrasound was higher than that of ECG, and the difference was statistically significant (P〈 0.05). Conclusion The implementation of cardiac ultrasound in the diagnosis of patients with hypertensive heart disease is with higher sensitivity and more conducive to the diagnosis of the disease with clinical application value.
作者
张志平
ZHANG Zhiping(Siyang Hospital of Traditional Chinese Medicine, Siyang 223700, Jiangsu Province, Chin)
出处
《中国实用乡村医生杂志》
2017年第6期59-61,共3页
Chinese Practical Journal of Rural Doctor
关键词
心脏病
高血压性
心电图
心脏B超
Heart Disease
Hypertensive
Electrocardiogram
Cardiac Ultrasound