运动平板在冠心病中的诊断与运用价值.docVIP

运动平板在冠心病中的诊断与运用价值 　　[摘要] 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（P0.05）。 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。 　　[关键词] 运动平板试验；冠脉造影；冠心病；诊断 　　[中图分类号] R54 [文献标识码] A [文章编号] 1674-0742（2015）05（a）-0003-03 　　Analysis of the Application Value of Treadmill Exercise Test in the Diagnosis of Coronary Heart Disease 　　HU Hua-qin 　　ECG Room， The First Peoples Hospital of Yidu， Yichang， Hubei Province， 443300 China 　　[Abstract] 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 selected. 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 statistically significant differences in the results of the three aspects between the two diagnostic methods（P0.05）. Conclusion For the diagnosis of coronary heart disease， treadmill exercise test is worthy of clinical application and promotion for it is noninvasive， the patients using it have less pain， and it is convenient to use with high diagnostic accordance rate， specificity and sensitivity. 　　[Key words] Treadmill exercise