运动平板试验联合动态心电图对老年女性冠心病的诊断价值

发布时间：2018-06-04 16:05

  本文选题：活动平板试验 + 动态心电图　； 参考：《重庆医学》2016年31期

【摘要】：目的探讨运动平板试验(TET)联合动态心电图(DCG)对老年女性冠心病的临床诊断价值。方法将拟诊为冠心病的老年女性患者99例分为3组:A组应用TET诊断法,B组应用DCG诊断法,C组应用TET联合DCG诊断法。各组以冠状动脉造影(CAG)结果为对照指标,分析TET、DCG及二者联合对老年女性冠心病的诊断价值。结果患者的敏感度、特异性、阴性预测值、阳性预测值A组分别为77.3%、76.8%、55.3%、89.6%;B组分别为70.1%、50.2%、51.4%、85.9%;C组分别为86.6%、83.9%、72.6%、93.5%。C组患者的敏感度、特异性、阴性预测值、阳性预测值均优于A组和B组(P0.05)。结论 TET联合DCG对老年女性冠心病的诊断价值较高,显著降低了疾病诊断的假阳性率和假阴性率。
[Abstract]:Objective to evaluate the clinical value of treadmill exercise test (TET) combined with dynamic electrocardiogram (DCG) in the diagnosis of coronary heart disease in elderly women. Methods 99 elderly female patients who were diagnosed as coronary heart disease were divided into 3 groups: group A was diagnosed by TET and group B by DCG and group C by TET combined with DCG. The diagnostic value of TETD-DCG and its combination in elderly women with coronary artery disease (CHD) was analyzed. Results the sensitivity, specificity, negative predictive value and positive predictive value of group A were 77.3 and 76.8kum, respectively. The positive predictive values in group B were 70.1, 50.2and 50.22, respectively. The sensitivity, specificity, negative predictive value and positive predictive value of group C were higher than those of group A and group B, respectively. The sensitivity, specificity, negative predictive value and positive predictive value of group A and B were superior to those of group A and group B, respectively. The sensitivity, specificity, negative predictive value and positive predictive value of group A were better than those of group A and group B, respectively. Conclusion the diagnostic value of TET combined with DCG in elderly women with coronary heart disease is higher, and the false positive rate and false negative rate of disease diagnosis are significantly decreased.
【作者单位】： 四川省医学科学院/四川省人民医院心功能科;四川省泸定县医院内科;
【基金】：国家自然科学基金资助项目(81200135)
【分类号】：R541.4;R540.41
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本文编号：1977987