中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
7期
38-39
,共2页
贠海雁%申岩%孙红雨%李红文%龚丽娜%吴焕卿
贠海雁%申巖%孫紅雨%李紅文%龔麗娜%吳煥卿
원해안%신암%손홍우%리홍문%공려나%오환경
冠状动脉疾病%男性%平板运动试验%冠状动脉造影
冠狀動脈疾病%男性%平闆運動試驗%冠狀動脈造影
관상동맥질병%남성%평판운동시험%관상동맥조영
Coronary disease%Male%Treadmill exercise test%Coronary angiography
目的 探讨平板运动试验诊断男性冠心病的价值.方法 选择拟诊冠心病的男性患者224例,入选病例全部行冠状动脉造影检查,且造影前或造影后1个月行平板运动试验,对比观察以冠状动脉造影直径法确定的冠状动脉狭窄程度和范围与平板运动试验的结果.结果 在224例冠状动脉造影中,阳性171例,阴性53例.其中单支病变87例,双支病变55例,三支病变29例.在平板运动试验中,阳性143例,阴性81例;以冠状动脉造影结果为标准,平板运动试验诊断冠心病的灵敏度为81.3％,阳性预测值为97.2％.同时发现合并高血压或糖尿病患者比单纯冠状动脉病变患者在平板运动试验中ST段下降时间早、持续时间也长,多支病变在平板运动试验中出现ST段下降时间长于单支病变,出现的导联数也多于单支病变.结论 平板运动试验是诊断冠心病的重要手段,并可初步估测冠状动脉狭窄程度.
目的 探討平闆運動試驗診斷男性冠心病的價值.方法 選擇擬診冠心病的男性患者224例,入選病例全部行冠狀動脈造影檢查,且造影前或造影後1箇月行平闆運動試驗,對比觀察以冠狀動脈造影直徑法確定的冠狀動脈狹窄程度和範圍與平闆運動試驗的結果.結果 在224例冠狀動脈造影中,暘性171例,陰性53例.其中單支病變87例,雙支病變55例,三支病變29例.在平闆運動試驗中,暘性143例,陰性81例;以冠狀動脈造影結果為標準,平闆運動試驗診斷冠心病的靈敏度為81.3％,暘性預測值為97.2％.同時髮現閤併高血壓或糖尿病患者比單純冠狀動脈病變患者在平闆運動試驗中ST段下降時間早、持續時間也長,多支病變在平闆運動試驗中齣現ST段下降時間長于單支病變,齣現的導聯數也多于單支病變.結論 平闆運動試驗是診斷冠心病的重要手段,併可初步估測冠狀動脈狹窄程度.
목적 탐토평판운동시험진단남성관심병적개치.방법 선택의진관심병적남성환자224례,입선병례전부행관상동맥조영검사,차조영전혹조영후1개월행평판운동시험,대비관찰이관상동맥조영직경법학정적관상동맥협착정도화범위여평판운동시험적결과.결과 재224례관상동맥조영중,양성171례,음성53례.기중단지병변87례,쌍지병변55례,삼지병변29례.재평판운동시험중,양성143례,음성81례;이관상동맥조영결과위표준,평판운동시험진단관심병적령민도위81.3％,양성예측치위97.2％.동시발현합병고혈압혹당뇨병환자비단순관상동맥병변환자재평판운동시험중ST단하강시간조、지속시간야장,다지병변재평판운동시험중출현ST단하강시간장우단지병변,출현적도련수야다우단지병변.결론 평판운동시험시진단관심병적중요수단,병가초보고측관상동맥협착정도.
Objective To investigate the significance of treadmill exercise test in male patients with coronary heart disease.Methods Two hundred and twenty-four male patients who diagnosed as coronary heart disease by coronary angiography were enrolled in this study,and treadmill exercise test were performed before and 1 month after coronary angiography.The coronary artery stenosis degree and scope were compared between two methods.Results In coronary angiography of 224 patients,the positive was 171 patients and negative was 53 patients.The single stenosis,double stenosis and triple stenosis was 87,55,29 patients.In treadmill exercise test of 224 patients,the positive was 143 patients and negative was 81 patients.The sensibility of treadmill exercise test compared the standard of coronary angiography was 81.3％,positive predictive value was 97.2％.Meanwhile in patients combined with hypertension or diabetic,treadmill exercise test found that the ST segment depression appeared earlier,persistence time longer.The persistence time and the number of down lead in double stenosis and triple stenosis was higher than that in single stenosis.Conclusion Treadmill exercise test is an important method in the diagnosis of coronary artery disease,and can preliminarily estimate the extent of coronary artery stenosis.
