简介：摘要目的应用头胸导联对常规导联右胸异常q波进行鉴别.方法行冠脉CTA的４８例冠心病患者分为A,B两组,前者右冠狭窄程度＞７５％,后者右冠狭窄程度＜５０％.所有患者均同步记录常规心电图的V３R到V８R和头胸导联心电图(HCECG)HV３R到HV８R.结果A组两种心电图配对的导联q波出现率无明显差异(P＝０．５－０．７５６).B组两种心电图配对的导联q波出现率差异明显(P＝０．０００－０．００５).HCECG和RLECG对右胸导联异常q波敏感性分别为６０－１００％和５３．８－９０．５％,HCECG和RLECG对右胸导联异常q波特异性分别为９６．７－１００％和０．６－８０．６％.结论HCECG对常规导联右胸异常q波是否异常可作进一步鉴别.关键词头胸导联;常规导联;心电图;异常q波;右胸DiscriminationofAbnormalqWavesinRightChestLeadwithHead－chestLeadElectrocardiograminPatientswithCoronaryHeartDiseaseWANGWei,DENGYu(The５thDepartmentofGerontology,GeneralHospitalofGuangzhouMilitaryCommandofPLA,Guangzhou,Guangdong,China．(５１００１０)Correspondingauthor)AbstractObjectiveThepurposeofthisstudywastoevaluatediscriminationofabnormalqwavesfoundedinrightsideofchestwithhead－chestelectroＧcardiogram(HCECG)．MethodsAccordingtothedegreeofstenosisofrightcoronaryartery,４８patientsweredividedintogroupA(２０)andB(２８),andthestenoＧs(isofthetwogroupswasmorethan７５％andwaslessthan５０％respectively．AllthepatientswereperformedexaminationofroutineleadelectrocardiogramRLECG)andHCECGsynchronouslyinleadsV３RtoV８RandHV３RtoHV８R．ResultsTheresultsshowedthatingroupA,therewasnosignificantdifferenceinoccurrencerateofabnormalqwavesinbothkindsofECG(P＝０．５to０．７５６),however,ingroupB,thedifferenceinoccurrencerateofabnormalqwavesinbothkindsofECGweresignificant(P＝０．０００to０．００５)．ThesensitivityofHCECGandRLECGtoabnormalqwavesofrightchestleadswere６０％to１００％and５３．８％to９０．５％respectively．ThespecificityofHCECGandRLECGtoabnormalqwavesofrightchestleadswere８６．７％to１００％and０．６％to８０．６％respecＧtively．KCeoynwcloursdisonsHCECGmayshowsomehelpindiscriminatingabnormalqwavesoccurredinrightleadofRLECG．Head－chestlead;Routinelead;Electrocardiogram;Abnormalqwaves;Rightchest．中图分类号文献标识码B文章编号１００８－６３１５(２０１５)１０－００８４－０２

简介：摘要目的分析阿托伐他汀结合辅酶Q１０治疗冠心病早期心功能减退的临床应用效果.方法选取２０１４年５月到２０１５年５月到我院进行冠心病早期心功能减退治疗患者６０例,随机分为对照组和研究组各３０例,分别给阿托伐他汀治疗以及阿托伐他汀结合辅酶Q１０治疗方法,分析治疗效果.结果给予两种不同的治疗方法后,研究组治疗后心功能改善情况显著优于对照组(P＜０．０５),具有统计学意义.讨论对冠心病早期心功能减退患者采用阿托伐他汀结合辅酶Q１０治疗方法,效果显著,值得推广.关键词阿托伐他汀;辅酶Q１０;冠心病;心功能减退AhsimvastatintreatmentofcoronaryheartdiseasecombinedwithcoenzymeQ１０effectobservationofearlyheartfunctionAbstractobjectivetoanalysisorsimvastatintreatmentofcoronaryheartdiseasecombinedwithcoenzymeQ１０earlyclinicalapplicationeffectoftheheart．MethodsinMay２０１４toMay２０１４toourhospitalfor６０patientswithcoronaryheartdiseaseearlyheartfunctiontreatment,each３０caseswererandomlydividedintocontrolgroupandresearchgroup,respectivelygiveahostatinsimvastatintreatmentandsimvastatintreatmentmethodcombinedwithcoenzymeQ１０,analyＧsisoftherapeuticeffect．Resultsgivetwodifferenttreatmentsafter,theteamhasthesignificantfunctiontoimprovethemiddleofthebackisbetterthanthatofcontrolgroup(P＜０．０５),withstatisticalsignificance．DiscussioninpatientswithcoronaryheartdiseaseearlyheartfunctionusingsimvastatintreatmentmethodcombikneeydwwoitrhdscoenzymeQ１０,obviouseffect,isworthpromoting．simvastatinstatin;CoenzymeQ１０．Coronaryheartdisease(CHD)．Theheart中图分类号R５４１．４文献标识码B文章编号１００８－６３１５(２０１５)１２－１３８８－０２

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