中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
13期
3-5
,共3页
运动平板试验%冠脉造影%冠心病%诊断
運動平闆試驗%冠脈造影%冠心病%診斷
운동평판시험%관맥조영%관심병%진단
Treadmill exercise test%Coronary angiography%Coronary heart disease%Diagnosis
目的：研究运动平板试验在冠心病的诊断与运用价值。方法随机选取2013年10月-2014年10月收入该院的疑似冠心病患者60例，入院60 d内，所有患者均行冠脉造影实验(CAG)，及运动平板试验(TET)，将冠脉造影实验的结果作为诊断标准，并研究运动平板试验的结果准确性。结果在冠心病诊断方面，运动平板试验的诊断符合率为83.3%(50/60)，特异度为72.7%(16/22)，灵敏度为89.5%(34/38)，诊断正确指数为61.1%。1支病变阳性率为78.1%、2支病变阳性率为82.0%、3支病变阳性率为100%，对三者进行比较，差异有统计学意义(P<0.05)。结论在冠心病的诊断过程中，运动平板试验可无创检查，诊断符合率、特异度及灵敏度高，使用方便，患者痛苦少，值得临床推广运用。
目的：研究運動平闆試驗在冠心病的診斷與運用價值。方法隨機選取2013年10月-2014年10月收入該院的疑似冠心病患者60例，入院60 d內，所有患者均行冠脈造影實驗(CAG)，及運動平闆試驗(TET)，將冠脈造影實驗的結果作為診斷標準，併研究運動平闆試驗的結果準確性。結果在冠心病診斷方麵，運動平闆試驗的診斷符閤率為83.3%(50/60)，特異度為72.7%(16/22)，靈敏度為89.5%(34/38)，診斷正確指數為61.1%。1支病變暘性率為78.1%、2支病變暘性率為82.0%、3支病變暘性率為100%，對三者進行比較，差異有統計學意義(P<0.05)。結論在冠心病的診斷過程中，運動平闆試驗可無創檢查，診斷符閤率、特異度及靈敏度高，使用方便，患者痛苦少，值得臨床推廣運用。
목적：연구운동평판시험재관심병적진단여운용개치。방법수궤선취2013년10월-2014년10월수입해원적의사관심병환자60례，입원60 d내，소유환자균행관맥조영실험(CAG)，급운동평판시험(TET)，장관맥조영실험적결과작위진단표준，병연구운동평판시험적결과준학성。결과재관심병진단방면，운동평판시험적진단부합솔위83.3%(50/60)，특이도위72.7%(16/22)，령민도위89.5%(34/38)，진단정학지수위61.1%。1지병변양성솔위78.1%、2지병변양성솔위82.0%、3지병변양성솔위100%，대삼자진행비교，차이유통계학의의(P<0.05)。결론재관심병적진단과정중，운동평판시험가무창검사，진단부합솔、특이도급령민도고，사용방편，환자통고소，치득림상추엄운용。
Objective To investigate the application value of treadmill exercise test in the diagnosis of coronary heart disease. Methods 60 patients with suspected coronary heart disease admitted in our hospital from October 2013 to October 2014 were se-lected. All the patients underwent coronary angiography (CAG) and treadmill exercise test (TET) within 60 d after the admission. Then the results of TET and CAG were compared by taking the CAG as the testing standard. Results In the diagnosis of coronary heart disease by TET, the diagnostic accordance rate was 83.3 % (50/60), the specificity was 72.7 %(16/22), the sensitivity was 89.5% (34/38), the diagnosis accuracy was 61.1%. For the diagnosis of coronary heart disease by TET, the positive rate of single vessel disease was 78.1%, and that of two-vessel disease was 82.0%, that of three-vessel disease was 100%, there were statistical-ly significant differences in the results of the three aspects between the two diagnostic methods(P<0.05). Conclusion For the diag-nosis of coronary heart disease, treadmill exercise test is worthy of clinical application and promotion for it is noninvasive, the pa-tients using it have less pain, and it is convenient to use with high diagnostic accordance rate, specificity and sensitivity.
