心电图与超声心动图诊断冠心病临床价值比较.pdfVIP

14 心血管病防治知识(学术版) 2012 年 第 5 期刊、10 月下半月合干IJ) 公私运人辫彷t告公 心电图与超声心动图诊断冠心病临床价值比较 高如峰 (河北省泊头市第三人民医院功能科，河北泊头 062150) [摘要] 目的 探讨并比较心电图与超声心动图应用于冠心病诊断的临床价值。方法 回顾，应分析我院 2∞9 年 5 月 -2012 年 7 月收治怀疑冠心病，并经冠状动脉造彩检查患者 163 例心电图及超声心动图影像学资 料，比较患者两种影像学检查手段冠心病诊断敏感性与特异性。结果 本组患者心电图检查敏感性 95.1 ì毛，特 异性 85.7%; 超声心动图检查敏感性 88.7% ，特异性 8 1. 0%; 心电图检查敏感性明显高于超声心动图，组间比较 差异显著(PÜ.05) ; 同时两种检查手段特异性组间比较无显著差异(P0.05) 。结论 与超声心动图相比，心电 图诊断冠心病敏感性较高，可作为临床常规冠心病捻查手段加以拉广使用。 [关键词] 心电图; 超声心动围; 冠心病; 价值; 比较 Clioical values of electrocardiogram and echocardiogram in dia伊osis ()f coronary heart diseas晴: a compara伽e study GAO Ru 气feng. Function a1 Examination Dep脯nent ， The Third People s Hospita1 01 Botou 01 Hebei 丹Ovince ， Botou 062150 , Chinα [ Abstract 1 Objec创刊 TO investigate the clinical values of electrOcardiOgram and echOcardiOg阳n in dia伊OSlS Of cOrOnary heart disease (CHD) by cOmparative study. Methods RetrO spective analysis was perfOrmed On the electrO cardiO gram and echOcardiO gram data Of 163 patients wh O received cOrOnarO graphy fOr diagnO sis Of CHD in Our hO spital frOm May 2009 tO July 2012. The tWO examinatiOn tOols were cOmpared with respect tO their sensitivity and specificity fOr CHD. Resu1ts The electrocardiO gram showed a sensitivity Of 95.1% and a specificity Of 85.7% , while the echOcardiogram showed a sensitivity Of 88.7% and a specificity of 81.0%. The electrOcardiOgram had a significantly higher sensitivity than the echocardiOgram (P0.05) , but there was nO significant difference in specificity between the Iwo examination tOOls (PO.05). Conclusion Compared with echOcardiOgram , electrocardiogram has higher sensitivi咛 fOr CHD , and can be widely used fOr di