摘要
目的:探究超声心动图与心电图联合诊断冠心病的临床意义。方法:选取我院2019年8月—2020年8月收治的86例疑似冠心病患者,均进行冠脉造影检查(金标准)、超声心动图与心动图检查,其对比分析不同检查方法对冠心病患者诊断的准确度、灵敏度与特异性,对联合检查的应用价值做进一步分析。结果:经冠脉造影检查阳性率为75.58%(65/86);超声心动图筛查阳性率为58.14%(50/86),心电图筛查阳性率为56.98%(49/86),二者联合筛查阳性率为74.42%(64/86),联合筛查准确度高于超声心动图筛查与心动图筛查(P<0.05);且二者联合筛查的敏感度、特异性均高于超声心动图与心电图(P<0.05)。结论:经联合筛查可有效提高冠心病患者的确诊率,对患者病情后期治疗有重要意义,值得推广。
Objective To explore the clinical significance of echocardiography and electrocardiogram in the diagnosis of coronary heart disease.Methods 86 patients with suspected coronary heart disease were examined by coronary angiography(gold standard),echocardiography and cardiogram.The accuracy,sensitivity and specificity of different methods were compared and analyzed.Results The positive rate of coronary angiography was 75.58%(65/86),the positive rate of echocardiography was 58.14%(50/86),the positive rate of electrocardiogram screening was 56.98%(49/86),the positive rate of combined screening was 74.42%(64/86),the accuracy of combined screening was higher than that of echocardiography and electrocardiogram(P<0.05).Conclusion Combined screening can effectively improve the diagnosis rate of patients with coronary heart disease,which is of great significance to the later treatment of patients,and is worth popularizing.
作者
陈敬霞
陆兆游
陈浩刚
Chen Jingxia;Lu Zhaoyou;Chen Haogang(Department of Ultrasound,Gaoyao District People's Hospital,Zhaoqing,Guangdong 526040,China)
出处
《影像研究与医学应用》
2021年第3期26-27,36,共3页
Journal of Imaging Research and Medical Applications
关键词
超声心动图
心电图
冠心病
诊断价值
Echocardiography
Electrocardiogram
Coronary heart disease
Diagnostic value
