心电图在颈心综合征诊断中的应用价值探讨

摘要

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 .%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。