摘要
目的探究平板心电图在冠脉临界病变经皮冠状动脉介入(PCI)术中的应用价值。方法按照平板心电图显示的结果对80例冠脉临界病变患者患者进行分组,显示为阳性的患者分为PCI组38例和非PCI组20例,显示为阴性的患者作为对照组22例。对PCI组阳性患者采用PCI术治疗,对非PCI组阳性患者和阴性患者采用单纯的药物治疗。观察记录临床特诊及不良事件发生率,计算平板心电图对冠脉临界病变诊断的敏感度和特异度。结果 80例冠脉临界病变患者中,平板心电图显示阳性的38例患者均成功进行PCI治疗,20例非PCI组阳性患者和22例阴性患者进行单纯药物治疗。随访2年,结果显示:PCI组患者中发生心因性死亡,心肌梗死,血运重建等不良事件发生率为5.26%,非PCI组不良事件发生率为30.00%,对照组不良事件发生率为13.64%。PCI组不良事件发生率明显低于非PCI组和对照组,差异具有统计学意义(P<0.05)。平板心电图对前降支病变、回旋支病变和右冠状动脉病变诊断的敏感度和特异度分别为87.3%和80.5%、65.4%和85.4%、81.5%和89.8%,总的敏感度和特异度分别为80.8%和82.3%,均高于80%以上。结论平板心电图能够对冠脉临界病变患者的冠脉功能进行准确评价,并且能作为冠脉临界病变介入治疗的重要参考指标,值得临床推广应用。
Objective To explore the application value of PCI in the diagnosis of coronary artery disease. Methods 80 cases of patients with coronary artery disease were grouped according to the results of flat panel ECG display,and patients with positive results would be considered as PCI group and non PCI group,patients with negative results as control group. PCI group was treated by PCI,and the patients with non PCIgroup and the negative group were treated with simple drug therapy. The clinical characteristics and the incidence of adverse events were observed.Results 80 cases of coronary artery disease in patients with critical,treadmill show 38 cases of positive patients were successfully treated with PCI,20 patients in non- PCI group and 22 patients with negative results were treated by drugs alone. Among the three groups of patients age,sex,hypertension,hyperlipidemia,diabetes,stenosis degree（ P〈0. 05）. After 2- year follow- ups,the results showed： the incidence of cardiac death,myocardial infarction,revascularization in patients from non- PCI group was 5. 26%,the rate of adverse events in non- PCI patients was 30. 00%. the rate of adverse events in the control group was 13. 64%. The incidence of adverse events in the PCI group was significantly lower than non- PCI group and the control group（ P〈0. 05）. Treadmill for anterior descending artery disease,circumflex artery and right coronary artery lesion disease diagnostic sensitivity and specificity were 87. 3% and 80. 5%,65. 4% and 85. 4%,81. 5% and 89. 8%,respectively. Overall sensitivity and specificity were 80. 8% and 82. 3%,respectively. Conclusion Treadmill is an important reference index for the evaluation of patients with critical coronary lesion,and it has important application value in clinical use.
出处
《临床和实验医学杂志》
2016年第7期706-708,共3页
Journal of Clinical and Experimental Medicine
