动态心电图与冠状动脉造影在冠心病诊断中的效果及优势
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摘要
目的探讨动态心电图和冠状动脉造影诊断冠心病的临床价值。方法将2015年12月—2018年4月江门市人民医院收治的150例确诊为冠心病的患者资料进行回顾性研究;所有患者分别接受动态心电图检查和冠状动脉造影,比较两种方法的敏感性、特异性及优势。结果资料统计显示,冠状动脉造影在冠心病诊断中的敏感性和特异性均为100.00%,动态心电图的灵敏性为72.73%,特异性为65.22%,两项数据组间比较差异均有统计学意义(P<0.05);除多支病变检出率一致外,动态心电图单支病变和双支病变的检出符合率均低于冠状动脉造影。结论在冠心病的诊断中,冠状动脉造影较之动态心电图有更高的诊断准确性,但动态心电图具有操作难度小、无创、重复性强的优势,临床上可作为筛选检查手段或与冠状动脉造影配合使用。
Objective To probe into the clinical values of dynamic electrocardiogram and coronary angiography in diagnosis of coronary heart disease. Methods Clinical data of 150 patients with coronary heart disease and who were diagnosed and treated in the hospital from December,2015 to April,2018 were retrospectively analyzed,and all patients received the dynamic electrocardiogram and coronary angiography respectively. Then,the sensitivity,specificity and advantages of two methods were compared. Results The data and statistics showed that the sensitivity and specificity of coronary angiography in the diagnosis of coronary heart disease were 100.00%,the sensitivity of the dynamic electrocardiogram was 72.73%,and the specificity was 65.22%. There was statistically significant difference in the data of two groups(P<0.05). Expect that the detection rate of multibranch lesions was consistent,the coincidence rate of single and double vessel lesions in dynamic electrocardiogram was lower than that in coronary angiography.Conclusion In the diagnosis of coronary heart disease,the coronary angiography has higher diagnostic accuracy than dynamic electrocardiogram,but the dynamic electrocardiogram has the advantages of difficulty in operation,non-invasive and repetitive,thus it can be used as a screening method or in use of combination with coronary angiography.
Objective To probe into the clinical values of dynamic electrocardiogram and coronary angiography in diagnosis of coronary heart disease. Methods Clinical data of 150 patients with coronary heart disease and who were diagnosed and treated in the hospital from December,2015 to April,2018 were retrospectively analyzed,and all patients received the dynamic electrocardiogram and coronary angiography respectively. Then,the sensitivity,specificity and advantages of two methods were compared. Results The data and statistics showed that the sensitivity and specificity of coronary angiography in the diagnosis of coronary heart disease were 100.00%,the sensitivity of the dynamic electrocardiogram was 72.73%,and the specificity was 65.22%. There was statistically significant difference in the data of two groups(P<0.05). Expect that the detection rate of multibranch lesions was consistent,the coincidence rate of single and double vessel lesions in dynamic electrocardiogram was lower than that in coronary angiography.Conclusion In the diagnosis of coronary heart disease,the coronary angiography has higher diagnostic accuracy than dynamic electrocardiogram,but the dynamic electrocardiogram has the advantages of difficulty in operation,non-invasive and repetitive,thus it can be used as a screening method or in use of combination with coronary angiography.
引文
[1]靳丽娟,田丰,杨婷婷,等.冠状动脉256排CT与冠状动脉造影对冠心病的诊断比较[J].中国循证心血管医学杂志,2014,6(5):618-619.
[2]杨毅波,何英泉,杨继超.冠心病心律失常的动态心电图与常规心电图应用对比评价[J].中国医药科学,2015,5(2):23-25+39.
[3]朱德强,万志强,刘继蓉.多层螺旋CT和选择性冠状动脉造影诊断冠心病的随机对照研究[J].中国CT和MRI杂志,2015,13(6):19-21.
[4]叶桂芬,周德莲,巨天赋.心电图负荷试验、动态心电图、心脏超声、核素心肌显像与冠脉造影对冠心病诊断价值的对比分析[J].内科,2014,9(3):289-291.
[5]夏国宏,郑争达,杨海燕.动态心电图检查老年冠心病心肌缺血和心律失常临床价值分析[J].医学影像学杂志,2016,26(2):354-356.
[6]林二妹,王海连,王丽.平板运动试验在冠心病诊断中的价值[J].中华实用诊断与治疗杂志,2017,31(3):274-275.
[2]杨毅波,何英泉,杨继超.冠心病心律失常的动态心电图与常规心电图应用对比评价[J].中国医药科学,2015,5(2):23-25+39.
[3]朱德强,万志强,刘继蓉.多层螺旋CT和选择性冠状动脉造影诊断冠心病的随机对照研究[J].中国CT和MRI杂志,2015,13(6):19-21.
[4]叶桂芬,周德莲,巨天赋.心电图负荷试验、动态心电图、心脏超声、核素心肌显像与冠脉造影对冠心病诊断价值的对比分析[J].内科,2014,9(3):289-291.
[5]夏国宏,郑争达,杨海燕.动态心电图检查老年冠心病心肌缺血和心律失常临床价值分析[J].医学影像学杂志,2016,26(2):354-356.
[6]林二妹,王海连,王丽.平板运动试验在冠心病诊断中的价值[J].中华实用诊断与治疗杂志,2017,31(3):274-275.