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心电图诊断右心室肥大的新指标-QRS波群及倒置T波面积
引用本文:刘广臣,宋美,董珍,史训凡.心电图诊断右心室肥大的新指标-QRS波群及倒置T波面积[J].生物数学学报,2008,23(1):170-174.
作者姓名:刘广臣  宋美  董珍  史训凡
作者单位:1. 烟台师范学院数学与信息学院,山东,烟台264025
2. 河北工业大学,廊坊分院,河北,廊坊065000
3. 中南大学,湘雅医院心电图室,湖南,长沙410083
基金项目:烟台师范学院校科研和教改项目
摘    要:目的:研究利用心电图诊断右心室肥大的临床指标,探讨提高其临床诊断率的方法。方法:筛选出右室肥大患者心电图记录75例,正常对照组30例;分别采集传统诊断方法和改进方法所需各项指标,并分别加以判断。结果:传统组合诊断指标的灵敏度为85.3%,特异度为93%;改进的组合诊断指标灵敏度为96%,特异度为100%。结论:由QRS波群面积、倒置T波面积、心电轴右偏度数组成的改进指标是心电图诊断右室肥大最重要的指标。

关 键 词:心电图  右心室肥大  QRS波群  倒置T波  逐步判别分析
文章编号:1001-9626(2008)01-0170-05
修稿时间:2005年11月12

New Indexes for ECG Diagnosis of the Right Ventricular Hypertrophy-The Areas of the QRS Complexes and Inverted T Waves
LIU Guang-chen,SONG Mei,DONG Zhen,SHI Xun-fan.New Indexes for ECG Diagnosis of the Right Ventricular Hypertrophy-The Areas of the QRS Complexes and Inverted T Waves[J].Journal of Biomathematics,2008,23(1):170-174.
Authors:LIU Guang-chen  SONG Mei  DONG Zhen  SHI Xun-fan
Institution:LIU Guang-chen1, SONG Mei1, DONG Zhen2, SHI Xun-fan3(1.School of Mathematics & Informatics, Yantai Normal University, Yantai Shandong 264025 China;2.Hebei University of Technology Langfang Department, Langfang Hebei 065000 China;3.Dept. of ECG, Xiangya Hospital, Changsha Hunan 410083 China)
Abstract:To study the clinical indexes of the Right Ventricular Hypertrophy (RVH) diag-noses by the ECG, and the more effective techniques of the clinical diagnosis. Method: 75 cases of RVH and 30 cases of normal. Both the traditional method and the new method are adopted to analysize respectively. Result: The check computations show that, the traditional diagnosis has the sensitivity of 85.3% and the specificity of 93%; the new diagnosis has 96% and 100% correspondingly. Conclusion: The areas of the QRS complexes and the inverts T waves, and the deviation degree of the right axis, are the most important indexes in the diagnosis of the RVH by the ECG.
Keywords:Electrocardiogram  The right ventricular hypertrophy  The QRS com-plexes  Inverted T waves  Stepwise discriminant analysis
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