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心电图在颈心综合征诊断中的应用价值探讨
引用本文:胡志永,郝金凤,郑秀芹.心电图在颈心综合征诊断中的应用价值探讨[J].河北医学,2014,0(11):1830-1832.
作者姓名:胡志永  郝金凤  郑秀芹
作者单位:胡志永 (河北省承德市中心医院心电诊断科,河北 承德,067000); 郝金凤 (河北省承德市中心医院心电诊断科,河北 承德,067000); 郑秀芹 (河北省承德市中心医院心电诊断科,河北 承德,067000);
基金项目:河北省承德市科技局科技计划项目,(项目编号:编号20132013)
摘    要:探讨心电图在颈心综合征诊断中的应用价值。方法:对选取的197例不合并其他疾病的单纯颈椎病患者,进行颈椎病分型,并对其颈椎病治疗前后进行心电图检查。结果:不同分型颈椎病患者出现各种心电图改变发生率的组内比较:神经根型颈椎病中窦性心律失常和ST-T改变与其它类型心律失常相比发生率差别有统计学意义;交感型颈椎病中ST-T改变与其它类型心律失常相比发生率差别有统计学意义;椎动脉型颈椎病中ST-T改变与其它类型心律失常相比发生率差别有统计学意义。结论:不同分型颈椎病患者出现各种心电图改变发生率不同,作为一种简单、经济的检查方法,心电图对颈心综合症的诊断、鉴别诊断有一定的应用价值。

关 键 词:心电图  颈椎病  颈心综合症

The Diagnosis Value of ECG in Cervicicardiac Syndrome
HU Zhiyong,HAO Jinfeng,ZHENG Xiuqin.The Diagnosis Value of ECG in Cervicicardiac Syndrome[J].Hebei Medicine,2014,0(11):1830-1832.
Authors:HU Zhiyong  HAO Jinfeng  ZHENG Xiuqin
Institution:(The Central Hospital of Chengde, Hebei Chengde 067000, China )
Abstract:To explore the value of ECG in diagnosing cervicicardiac syndrome .Method:197 patients diagnosed as single cervical spondylosis .They were given ECG examination before and after treat-ment in cervical spondylosis .And the patients were types of cervical spondylosis .Result:Group comparison between incidence of ECG changes occur in patients with different types of cervical spondylosis .In nerve root , there's significant difference between low voltage QRS wave , sinus arrhythmia , ST-T changes , the su-praventricular tachycardia , ventricular arrhythmias and conduction ( P 〈0.05 ); In sympathetic cervical spondylosis , there's significant difference between the ST-T changes , sinus arrhythmia , superventricular tachycarmia, ventricular arrhythmias, conduction block and low voltage QRS wave group (P 〈0.05);in ver-tebral artery , there's significant difference between ST-T changes , sinus arrhythmia , superventricular tachy-carmia, ventricular arrhythmias, conduction block and low voltage QRS wave (P 〈0.05).Conclusion:The change rate of ECG is different in vary types of cervical spondylosis , ECG have certain application value in the diagnosis of carotid cardiac syndrome .
Keywords:ECG  Cervical spondylosis  Cervicicardiac syndrome
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