动态心电图与超声心动图对诊断冠心病的临床研究.docVIP

精品论文 参考文献 动态心电图与超声心动图对诊断冠心病的临床研究 武汉市黄陂区人民医院彩超室 湖北武汉 430300 摘要：目的：探讨动态心电图和超声心动图对诊断冠心病的价值。方法：通过回顾98例临床怀疑冠心病的患者予动态心电图和超声心动图检查，以冠脉造影为金标准，对比二者对诊断冠心病的阳性率是否有统计学意义。结果：动态心电图诊断阳性者72例，二维经胸超声心动图诊断阳性者52例，冠脉造影诊断阳性者64例。动态心电图组gt;冠脉造影组（Pgt;0.05），差别无统计学意义；动态心电图组gt;二维经胸超声心动图组（Pgt;0.05），差别无统计学意义；二维经胸超声心动图组lt;冠脉造影组（Plt;0.01），差别有统计学意义。结论：无论是动态心电图还是超声心动图对准确诊断冠心病均有一定的局限性，应详细分析临床症状，结合多方面检查，尤其是冠脉造影检查以期正确诊断冠心病。 关键词：动态心电图；超声心动图；冠脉造影；冠心病诊断 [Abstract]Objective：To investigate the dynamic electrocardiogram and ultrasound in diagnosis of coronary heart disease Beckoning value.Methods：a retrospective review of 98 cases of clinically suspected coronary heart disease patients with dynamic electrocardiogram and ultrasonic Beckoning graph examination，with coronary angiography as the gold standard，comparing whether the two positive rate was statistically significant for the diagnosis of coronary heart disease. Results：72 cases of dynamic ECG diagnosis positive，two-dimensional transthoracic echocardiography in the diagnosis of 52 cases with positive，coronary angiography in the diagnosis of 64 cases with positive.Dynamic electrocardiogram coronary angiography group group（Pgt;0.05），the difference was not statistically significant；dynamic electrocardiogram groupgt two-dimensional transthoracic echocardiography（Pgt;0.05）group，the difference was not statistically significant；two-dimensional transthoracic echocardiography group and coronary angiography group（Plt;0.01），the difference was statistically significant. Conclusion：both the dynamic electrocardiogram or ultrasound Heartbeat for accurate diagnosis of coronary heart disease have certain limitations，should be a detailed analysis of the clinical symptoms，combined with multi examination，especially coronary angiography to correct diagnosis of coronary heart disease. [keyword]dynamic electrocardiogram；ultrasound Heartbeat map；coronary angiography；coronary artery disease 随着现代生活水平的提高，我国冠心病发病的患者数逐年上升并呈年轻化趋势，早期的预防控制尤为重要[1]。冠心病的诊断主要依赖于患者典型的临床表现和相关的辅助检