中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
8期
45-45,46
,共2页
平板运动试验%心电图%冠状动脉造影术%冠状动脉粥样硬化性心脏病
平闆運動試驗%心電圖%冠狀動脈造影術%冠狀動脈粥樣硬化性心髒病
평판운동시험%심전도%관상동맥조영술%관상동맥죽양경화성심장병
Treadmill exercise test%Electrocardiogram%Coronary artery angiography%Coronary atherosclerotic heart disease
目的：探讨影响平板运动试验(TET)结果的相关因素，以提高TET诊断冠状动脉粥样硬化性心脏病(冠心病)的准确性。方法154例TET阳性患者行冠状动脉造影(冠脉造影)术(CAG)，根据冠脉造影结果分为真阳性组(95例)与假阳性组(59例)，比较两组患者年龄、性别的差异，并对影响TET真阳性和假阳性的各项临床资料进行统计学分析。结果①平板运动真阳性率为61.69%，其中男性为49.35%，女性为12.34%；②TET真假阳性临床相关资料分析，有典型心绞痛、糖尿病史以及ST段下移>0.2 mV、运动中诱发心绞痛的患者真阳性组高于假阳性组(P<0.05)；出现ST段损伤型抬高的患者均为真阳性组。结论对TET的结果，应结合TET中ST段改变的形式和程度，根据患者的临床资料，建立新的诊断模式，以提高诊断准确性。
目的：探討影響平闆運動試驗(TET)結果的相關因素，以提高TET診斷冠狀動脈粥樣硬化性心髒病(冠心病)的準確性。方法154例TET暘性患者行冠狀動脈造影(冠脈造影)術(CAG)，根據冠脈造影結果分為真暘性組(95例)與假暘性組(59例)，比較兩組患者年齡、性彆的差異，併對影響TET真暘性和假暘性的各項臨床資料進行統計學分析。結果①平闆運動真暘性率為61.69%，其中男性為49.35%，女性為12.34%；②TET真假暘性臨床相關資料分析，有典型心絞痛、糖尿病史以及ST段下移>0.2 mV、運動中誘髮心絞痛的患者真暘性組高于假暘性組(P<0.05)；齣現ST段損傷型抬高的患者均為真暘性組。結論對TET的結果，應結閤TET中ST段改變的形式和程度，根據患者的臨床資料，建立新的診斷模式，以提高診斷準確性。
목적：탐토영향평판운동시험(TET)결과적상관인소，이제고TET진단관상동맥죽양경화성심장병(관심병)적준학성。방법154례TET양성환자행관상동맥조영(관맥조영)술(CAG)，근거관맥조영결과분위진양성조(95례)여가양성조(59례)，비교량조환자년령、성별적차이，병대영향TET진양성화가양성적각항림상자료진행통계학분석。결과①평판운동진양성솔위61.69%，기중남성위49.35%，녀성위12.34%；②TET진가양성림상상관자료분석，유전형심교통、당뇨병사이급ST단하이>0.2 mV、운동중유발심교통적환자진양성조고우가양성조(P<0.05)；출현ST단손상형태고적환자균위진양성조。결론대TET적결과，응결합TET중ST단개변적형식화정도，근거환자적림상자료，건립신적진단모식，이제고진단준학성。
Objective To explore the related factors influencing the results of treadmill exercise test (TET), in order to improve the accuracy of TET in diagnosis of coronary atherosclerotic heart disease (coronary heart disease). Methods A total of 154 patients with positive TET received coronary artery angiography (CAG). According to their results, they were divided into true positive group (n=95) and false positive group (n=59). Comparisons were made on age and gender between the two groups, and statistical analysis was taken on the clinical data that influenced true or false positive results of TET. Results ①The true positive rate of TET was 61.69%, and male accounted for 49.35%, female accounted for 12.34%. ②The analysis of clinical data in true and false positive TET showed that patients with typical angina pectoris, diabetes mellitus, ST segment decline>0.2 mV, and angina pectoris induced in exercise were more in the true positive group than in false positive group (P<0.05). Patients with ST segment traumatic elevation were all in the true positive group. Conclusion The results of TET should be combined with ST segment changes in form and degree. New diagnosis pattern can be established by clinical data of patients to improve the accuracy of diagnosis.
