CAJ | 학술논문

目的：研究320排螺旋CT心肌灌注扫描在诊断冠心病缺血心肌中的应用价值。方法：将158例患者随机分成观察组和对照组。观察组患者采用320排螺旋CT心肌灌注扫描的方法诊断冠心病缺血心肌；对照组患者采用传统方法诊断冠心病缺血心肌。结果：观察组敏感性明显高于对照组，高出18.26%。观察组准确率明显高于对照组，高出22.78%。观察组诊断时间为（31.21±3.1）min，诊断费用为（5210.4±345.1）元，均显著少于对照组，差异均有统计学意义（均P＜0.05）。结论：320排螺旋CT心肌灌注扫描在诊断冠心病缺血心肌中十分敏感，准确率较高，同时还可以减少患者的费用，减轻患者压力，值得临床推广。
목적：연구320배라선CT심기관주소묘재진단관심병결혈심기중적응용개치。방법：장158례환자수궤분성관찰조화대조조。관찰조환자채용320배라선CT심기관주소묘적방법진단관심병결혈심기；대조조환자채용전통방법진단관심병결혈심기。결과：관찰조민감성명현고우대조조，고출18.26%。관찰조준학솔명현고우대조조，고출22.78%。관찰조진단시간위（31.21±3.1）min，진단비용위（5210.4±345.1）원，균현저소우대조조，차이균유통계학의의（균P＜0.05）。결론：320배라선CT심기관주소묘재진단관심병결혈심기중십분민감，준학솔교고，동시환가이감소환자적비용，감경환자압력，치득림상추엄。
Objective: To research the application value of the 320-slice spiral CT scanning in the diagnosis of ischemic myocardium in Coronary artery disease (CAD). Methods: 158 cases were randomly divided into observation group and control group. The patients of observation group were used 320-slice spiral CT scanning method for diagnosing ischemic myocardium in CAD. The patients of the control group were treated with traditional methods to diagnose ischemic myocardium. Results: The sensitivity of diagnosis of observation group was significantly 18.26% higher than control group. The accuracy of diagnosis of observation group was significantly 22.78%higher than control group. The diagnosis time of observation group was(31.21±3.1)min, diagnostic fee was(5210.4±345.1)yuan. Both of them were significantly less than those of the control group. Differences were statistically significant (P<0.05). Conclusions: 320-slice spiral CT scanning in the diagnosis of ischemic myocardium is significantly sensitive and has high accuracy rate , it can reduce the cost and stress of patients. So it is worthy of popularization in clinic.