冠心病诊断中320CT与运动负荷心电图对比分析.docVIP

冠心病诊断中320CT与运动负荷心电图对比分析 　　[摘要] 目的 选择常规冠脉造影作为冠心病诊断“金标准”，回顾性对比冠脉320CT与运动负荷心电图对冠心病的诊断性能。 方法 根据冠心病诊断标准，分析80例怀疑冠心病患者的冠脉320CT、运动负荷心电图对冠心病诊断的敏感性和特异性。 结果 冠脉320CT的敏感性（90.9%）和特异性（83.3%）比运动负荷心电图的敏感性（72.7%）和特异性（30.6%）显著增高（P ＜ 0.05）；在怀疑冠心病的中低危患者中，冠脉320CT对冠心病诊断的准确率优于运动负荷心电图，差异有统计学意义（P ＜ 0.05）。 结论 在常规行冠脉造影检查的患者中，冠脉320CT诊断冠心病性能优于运动负荷心电图。 　　[关键词] 320CT；运动负荷心电图；冠心病；诊断 　　[中图分类号] R541.4[文献标识码] B[文章编号] 1673-9701（2012）10-0097-02 　　The comparative analysis of 320CT and exercise stress ECG in diagnosis of coronary artery disease 　　XIE Wengang1 HUANG Zhiqin2 LIU Yiqin3 　　1.Department of Cardiology, Qianxinan People’s Hospital, Guizhou, Xingyi 562400, China; 2.Emergency Department, Anlong County Peoples Hospital, Guizhou, Anlong 552400, China; 3.Integrated Department, Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China 　　[Abstract] Objective To choose the conventional coronary angiography as the “gold standard” for diagnosing coronary artery disease (CAD), retrospectively compare the performance of coronary 320CT and exercise stress ECG in diagnosis of CAD. Methods According to diagnostic criteria for CAD, sensitivity and specificity of 320CT and exercise stress ECG in diagnosis of 80 cases CAD were analyzed. Results The sensitivity (90.9%) and specificity (83.3%) of 320CT were significantly higher than the sensitivity (72.7%) and specificity (30.6%) of exercise stress ECG (P ＜ 0.05); The studies had shown that the diagnosis rate of 320CT of CAD had significantly statistical difference than exercise stress ECG in suspected CAD low-risk patients (P ＜ 0.05). Conclusion 320CT is superior to exercise stress ECG in diagnosis of CAD for patients undergoing conventional coronary angiography. 　　[Key words] 320CT; Exercise stress ECG; CAD; Diagnosis 　　冠脉320CT作为无创性检查，是评估冠脉血管病变很好的选择，对冠心病的诊断总体水平相当高。据文献报道，冠脉320CT具有取代传统冠脉造影的趋势[1]。然而，运动负荷心电图仍然是临床上最常用的诊断冠心病的无创检查，临床应用广泛，在冠心病诊断中仍有重要的价值。因此，本研究直接比较冠脉320CT和运动负荷心电图两种无创检查对冠心病的诊断性能。 　　 　　1 对象与方法 　　1.1 研究对象 　　选择2010年1～12月在我院心内科住院怀疑冠心病