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心电能量谱对慢性肾衰竭患者心肌缺血诊断价值探讨
引用本文:谈家红,彭林玉,乔玲,陈玉. 心电能量谱对慢性肾衰竭患者心肌缺血诊断价值探讨[J]. 齐齐哈尔医学院学报, 2012, 33(6): 713-714
作者姓名:谈家红  彭林玉  乔玲  陈玉
作者单位:谈家红 (江苏省镇江市第二人民医院心电图室,212000) ; 彭林玉 (江苏省镇江市卫生监督所,212000) ; 乔玲 (江苏省镇江市第二人民医院心电图室,212000) ; 陈玉 (江苏省镇江市第二人民医院肾内科,212000) ;
摘    要:
目的探讨12导联心电能量谱(ECG 12-lead frequency domain cardiogram,FCG)对慢性肾衰竭(chronic renal failure,CRF)患者是否并发心肌缺血的诊断价值。方法对105例慢性肾衰竭的患者,分别进行FCG和12导联心电图(12-lead electrocardiogram,12-lead ECG)检查,对检查结果进行比较分析。结果 FCG检查显示为阳性的56例,阳性率53.33%;ECG检查显示为阳性的21例,阳性率20.00%;二者阳性率比较,有统计学意义(P<0.01)。结论 FCG对CRF并发心肌缺血的诊断价值高于ECG,是当前CRF患者是否并发心肌缺血的一项重要的,有价值的,早期诊断参考指标。

关 键 词:心电能量谱  心电图  慢性肾功能衰竭  心肌缺血

Investigation of diagnosis value of ECG energy spectrum in chronic renal failure patients with myocardial ischemia
Affiliation:TAN Jia-hong,et al.(Electro-cardiograph Section,the Second People’s Hospital,Zhenjiang,Jiangsu 212000,the P.R.China.)
Abstract:
Objective To discuss the diagnostic value of 12-lead ECG energy spectrum(also known as the 12-lead frequency domain cardiogram,FCG) for myocardial ischemia complication in cases of patients with chronic renal failure(CRF).Methods 105 cases of CRF patients were selected for FCG and respectively 12-lead electrocardiogram(12-lead ECG) examination.The FCG and ECG findings were analyzed in comparison.Results The FCG result was positive in 56/105(53.33%) cases,while respectively the ECG result was positive in 21/105(20.00%) cases,the comparison of the above-mentioned two positive rate was statistically significant(P<0.01).Conclusions FCG examination is with higher diagnostic value than ECG for myocardial ischemia complication in cases of CRF patients,thus the FCG result is a significant reference index for early diagnosis of myocardial ischemia complication for CRF patients.
Keywords:FCG ECG CRF Myocardial ischemia
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