摘要
目的探究对ST段抬高型急性冠状动脉综合征(ACS)患者施行心电图结合肌钙蛋白Ⅰ(TnⅠ)检测的效果及危险分层价值。方法按随机数字表法抽取2016年1月至2019年12月韶关市第一人民医院92例ST段抬高型ACS患者(观察组)及同期50名行健康体检者(对照组)为观察对象,均进行心电图检查、TnⅠ检测,对比2组心电图及TnⅠ检测结果。同时,结合心肌梗死溶栓疗法(TIMI)危险评分将观察组患者分为低危组(31例)、中危组(31例)及高危组(30例),对比3组患者TnI检测结果及住院期间不良心血管事件发生率。结果①观察组T波峰-末间期(Tp-e)、校正心率后的T波-峰末间期(Tcpe)检测结果均较对照组更高(P<0.05);②观察组TnⅠ检测结果较对照组更高(P<0.05);③观察组中,高危组TnⅠ检测结果较中危、低危组更高(P<0.05);④观察组中,TnⅠ阳性组不良心血管事件发生率(22%)较TnⅠ阴性组(3%)更高(P<0.05);⑤观察组中,高危组不良心血管事件发生率(30%)较中危组(13%)、低危组(0%)均更高(P<0.05)。结论尽早对ST段抬高型ACS患者施行心电图结合TnⅠ检测有助于尽早识别病情危险程度,并及时对高危患者采取有效治疗措施,以改善其预后。
Objective To investigate the effect and risk stratification value of electrocardiogram(ECG)combined with TroponinⅠ(TnⅠ)detection in patients with ST segment elevation acute coronary syndrome.Methods From January 2016 to December 2019,92 patients with ST segment eleva-tion acute coronary syn-drome(observation group)and 50 healthy people(control group)were randomly selected at our hospital.They were subjected to ECG and TnⅠdetection,and the results of the two groups were compared.At the same time,using the the thrombolysis in myocardial infarction(TIMI)risk score,the patients in the observation group were divided into three groups:low-risk(31 cases),medium-risk(31 cases),and high-risk(31 cases)(30 cases).Among the three groups,TnⅠdetection rates and the incidence of adverse cardiovascular events during hospitalization were compared.Results①The observation group′s Tp-e and Tcpe values were higher than the control group(P<0.05).②The observation group′s TnⅠresults were higher than the control group(P<0.05).③In the observation group,the high-risk group′s TnⅠresults were higher than those of the medium and low-risk groups(P<0.05).④In the observation group,the incidence of adverse cardiovascular events was higher in the TnⅠpositive group(22%)than that in the TnI negative group(3%,P<0.05).⑤In the observation group,the incidence of adverse cardiovascular events was higher in the high-risk group(30%)than that in the medium-risk(13%)and low-risk groups(0%,P<0.05).Conclusion Early ECG detection combined with TnⅠdetection in patients with ST segment elevation acute coronary syndrome is beneficial in determining the risk degree of the disease as early as possible and taking effective treatment measures for highrisk patients in time to improve their prognosis.
作者
吴丽华
王倩敏
王月刚
杨京山
杨镝
张翠霞
肖洁莹
王石英
Wu Lihua;Wang Qianmin;Wang Yuegang;Yang Jingshan;Yang Di;Zhang Cuixia;Xiao Jieying;Wang Shiying(ECG Room,Department of Cardiology,Shaoguan First People′s Hospital,Guangdong 512000,China;Department of Cardiology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《实用医技杂志》
2022年第5期453-456,共4页
Journal of Practical Medical Techniques
基金
广东省韶关市科技计划项目(2019sn028)。
