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P波最大时限及P波离散度与阵发性心房颤动的关系
引用本文:孙晓翠,谷延梅,牛占军. P波最大时限及P波离散度与阵发性心房颤动的关系[J]. 黑龙江医学, 2007, 31(3): 197-198
作者姓名:孙晓翠  谷延梅  牛占军
作者单位:肇东市人民医院,黑龙江,肇东,152000;延寿县医院,黑龙江,延寿,151700;讷河市医院,黑龙江,讷河,161300
摘    要:
目的 探讨P波最大时限(Pmax)与P波离散度(Pd)对特发性阵发性房颤(PM)的预测价值。方法 分别观察30例特发性PAl和40例健康成人的Pmax及Pd,研究Pmax和Pd对特发性PAl诊断的敏感性、特异性和阳性预测值。结果 特发性PM患者的Pmax及Pd明显大于对照组,其差异有高度显著性(P〈0.01);Pmax〉110ms、Pd〉40ms及两者相结合时预测特发性PM的敏感性分别为86%、84.2%和72.2%,特异性分别为78.3%、85.0%和88.7%,阳性预测值分别为81.6%、85.3%和89.4%。结论 Pmax和Pd在特发性附病人中明显增加,可作为预测特发性眦的有效指标。

关 键 词:P波最大时限  P波离散度  特发性阵发性房颤
文章编号:24055577
修稿时间:2006-10-18

Relation Ship between Paroxysmal Atrial Fibrilation and Biggest Time Limit and Diffusion Degree of P Wave
SUN Xiao-cui,GU Yan-mei,NIU Zhan-jun. Relation Ship between Paroxysmal Atrial Fibrilation and Biggest Time Limit and Diffusion Degree of P Wave[J]. Heilongjiang Medical Journal, 2007, 31(3): 197-198
Authors:SUN Xiao-cui  GU Yan-mei  NIU Zhan-jun
Affiliation:SUN Xiao - cui, GU Yan- mei, NIU Zhan - jun ( The People' s Hospital of Zhaodong City, Zhaodong 151700, China )
Abstract:
Objective To discuss the value of Pmax and Pd for idio-PAf.Methods 30 cases of idio-PA1 patient and 40 cases of healthy adult were observed with diagnostic sensitivity,specificity and positive predictive value of Pmax,Pd in PAf.Results The Pmax and Pd of PAf were higher than those in control group with significance.The Pmax was more than 110ms and Pd was more than 40ms.The sensitivity of Pmax and Pd combination were 86%,84.2% and 72.2%.The specificity were 78.3%,85.0% and 88.7%.The positive predictive value were 81.6%,85.3% and 89.4%.Conclusion The Pmax and Pd improved obviously in idio-PAf so that Pmax and Pd might be effective data for idio-PAf prediction.
Keywords:Pmax  Pd  idio-Paf
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