不同心电图标准对老年女性高血压左室肥大诊断比较研究.docVIP

不同心电图标准对老年女性高血压左室肥大诊断比较研究 　　[摘要] 目的 比较和评估Cornell与Sokolow指数在老年女性高血压左室肥大（LVH）心电图诊断中的价值，探索提高心电图诊断效能的方法。 方法 选择2011年3～12月间江苏省南通市妇幼保健院门诊检查的70例老年女性为研究对象，根据超声心动图测定的左室重量指数（LVMI）将其分为对照组20例，LVH组50例。计算Cornell及Sokolow指数的诊断灵敏度、特异度和准确率，并在不同特异度条件下比较Cornell和Sokolow指数诊断差异。 结果 LVH组的LVM及LVMI的数值明显高于对照组，两组比较差异有统计学意义（P 0.05）；Cornell指数的诊断灵敏度和准确率较Sokolow指数高，两者相比差异有统计学（P 　　[关键词] 左室肥大；Cornell指数；Sokolow指数 　　[中图分类号] R540.41 [文献标识码] A [文章编号] 1673-7210（2013）11（c）-0051-03 　　Comparative study on diagnosis of different ECG criterion for elderly female hypertensive subjects with left ventricular hypertrophy 　　TANG Baohua 　　Department of Internal Medicine， Nantong Maternity and Child Health Care Hospital， Jiangsu Province， Nantong 226007，China 　　[Abstract] Objective To compare and evaluate the diagnostic value by the Cornell index and Sokolow index for elderly female hypertensive subjects with left ventricular hypertrophy （LVH）， in order to find a more effective method to improve ECG diagnosis. Methods 70 elderly female who had health examination in Nantong Maternity and Child Health Care Hospital from March to December 2011 were selected as study objects， and they were divided into 20 cases in control group and 50 cases in LVH group according to the left ventricular mass index （LVMI） determined by echocardiogram.The sensitivity， specificity， and accuracy of Cornell index and Sokolow index were calculated. The difference between Cornell index and Sokolow index at different specificity were compared. Results The level of LVM and LVMI in LVH group were significantly higher than those in control group， the difference was statistically significant （P 0.05）. The sensitivity and accuracy of Cornell index were higher than those of Sokolow index （P 　　1 资料与方法 　　1.1 一般资料 　　选择2011年3～12月间江苏省南通市妇幼保健院（以下简称“我院”）门诊检查的70例老年女性为研究对象，按照超???心动图测定的LVMI进行分组，正常人群20例为对照组，高血压左室肥大人群50例为LVH组。对照组：年龄65～80岁，询问健康史，进行常规的体格检查和实验室检查，并测量血压，SBP 0.05），具有可比性。 　　1.2 方法 　　1.2.1 LVM及LVMI的检测 由同一名有经验的超声科室医生采用西门子S-2000超声心动图仪对患者的