中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
19期
415-416
,共2页
标准12导联心电图%标准监护Ⅱ导联%变异型心绞痛
標準12導聯心電圖%標準鑑護Ⅱ導聯%變異型心絞痛
표준12도련심전도%표준감호Ⅱ도련%변이형심교통
Standard 12 lead ecg union%Standard careⅡguide group%Variant angina pectoris
目的探讨标准12导联心电图与标准监护Ⅱ导联监测变异型心绞痛（variant angina pectoris，VAP）的临床对照研究。方法共纳入85例VAP患者作为病例组，入院后给予患者相关的对症支持治疗，同时随机选取90例无心脏疾病的健康人作为对照组，并给予两组人群标准12导联心电图监测措施及标准监护Ⅱ导联监测措施。以标准12导联心电图为金标准，评价标准监护Ⅱ导联方法对心肌缺血监测的有效性及敏感性。结果以标准12导联心电图为金标准，标准监护Ⅱ导联仅监测出64例患者发生VAP，且有16例健康人误诊为有VAP发生，其对VAP的诊断敏感度为75.3%，特异度为82.2%，阳性似然比为0.80，阴性似然比0.78。结论与标准12导联心电图相比，标准监护Ⅱ导联的诊断敏感度及特异度均比较低，在临床工作中不能单独依靠标准监护Ⅱ导联进行VAP的诊断，否则易延误患者的治疗或误诊患者的病情。
目的探討標準12導聯心電圖與標準鑑護Ⅱ導聯鑑測變異型心絞痛（variant angina pectoris，VAP）的臨床對照研究。方法共納入85例VAP患者作為病例組，入院後給予患者相關的對癥支持治療，同時隨機選取90例無心髒疾病的健康人作為對照組，併給予兩組人群標準12導聯心電圖鑑測措施及標準鑑護Ⅱ導聯鑑測措施。以標準12導聯心電圖為金標準，評價標準鑑護Ⅱ導聯方法對心肌缺血鑑測的有效性及敏感性。結果以標準12導聯心電圖為金標準，標準鑑護Ⅱ導聯僅鑑測齣64例患者髮生VAP，且有16例健康人誤診為有VAP髮生，其對VAP的診斷敏感度為75.3%，特異度為82.2%，暘性似然比為0.80，陰性似然比0.78。結論與標準12導聯心電圖相比，標準鑑護Ⅱ導聯的診斷敏感度及特異度均比較低，在臨床工作中不能單獨依靠標準鑑護Ⅱ導聯進行VAP的診斷，否則易延誤患者的治療或誤診患者的病情。
목적탐토표준12도련심전도여표준감호Ⅱ도련감측변이형심교통（variant angina pectoris，VAP）적림상대조연구。방법공납입85례VAP환자작위병례조，입원후급여환자상관적대증지지치료，동시수궤선취90례무심장질병적건강인작위대조조，병급여량조인군표준12도련심전도감측조시급표준감호Ⅱ도련감측조시。이표준12도련심전도위금표준，평개표준감호Ⅱ도련방법대심기결혈감측적유효성급민감성。결과이표준12도련심전도위금표준，표준감호Ⅱ도련부감측출64례환자발생VAP，차유16례건강인오진위유VAP발생，기대VAP적진단민감도위75.3%，특이도위82.2%，양성사연비위0.80，음성사연비0.78。결론여표준12도련심전도상비，표준감호Ⅱ도련적진단민감도급특이도균비교저，재림상공작중불능단독의고표준감호Ⅱ도련진행VAP적진단，부칙역연오환자적치료혹오진환자적병정。
Objective To explore standard 12-lead electrocardiogram (ECG) united with the standard monitoringⅡguide union monitoring variant angina pectoris (variant angina pectoris, VAP) clinical control study. Methods Participants included 85 cases of patients with VAP cases as a group, to give patients after admission related suit support therapy, and random select 90 cases of healthy people without heart disease as control group, and give two group standard 12 lead ecg monitoring measures and united standard monitoringⅡguide union monitoring measures. In standard 12-lead electrocardiogram (ECG) united for the gold standard, evaluation standard monitoringⅡguide group methods myocardial ischemia monitoring effectiveness and sensitivity. Results In standard 12-lead electrocardiogram (ECG) united for the gold standard, the standard monitoringⅡguide group only out of 64 cases of monitoring in patients with VAP, and 16 cases misdiagnosed as a healthy VAP occurs, the diagnosis of VAP were 75.3%and 82.2%, respectiely) for, positive likelihood ratio 0.80, negative likelihood ratio of 0.78. Conclusion With the standard 12-lead electrocardiogram (ECG) group, compared to standard monitoringⅡguide league diagnostic sensitivity and specific degrees are relatively low, in the clinical work alone cannot rely on standard monitoringⅡguide group for the diagnosis of VAP, otherwise easy to delay the treatment of patients or patients with diagnosis of the disease.
