活动平板运动试验多项指标分析在冠心病诊断中的意义  

The Significance of Multivariate Indexes Analysis on Treadmill Exercise Test in Diagnosis for Coronary Heart Disease

作　　者：陈莉[1] 杜修海[1] 王鹏[1] 杜淑兰[1] 胡林[1] 

机构地区：[1]兰州军区兰州总医院心内科

出　　处：《西北国防医学杂志》1998年第1期20-22,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的：通过对活动平板运动试验（ＴＥＴ）多项指标进行分析，旨在评价ＴＥＴ在冠心病诊断中的价值。方法：对２４５例患者按Ｂｒｕｃｅ方案进行了ＴＥＴ检查，把阳性患者分为疼痛组（Ａ组）和无症状组（Ｂ组），两者进行比较，并与试验阴性组（Ｃ组）比较。结果：运动时间，最大心率Ａ组＜Ｂ组＜Ｃ组（Ｐ＜０．０５～０．０１）。运动血压Ｃ组＞Ａ组（Ｐ＜０．０１）。Ａ组与Ｂ组、Ｂ组与Ｃ组比较无差异（Ｐ＞０．０５）。ＳＴ段下移级别Ｂ组＞Ａ组（Ｐ＜０．０１），下移深度Ａ组＞Ｂ组（Ｐ＜０．０１）。结论：ＴＥＴ多项指标判断冠心病的准确性明显提高。Purpose:To evaluate the significance of treadmill exercise test(TET)in diagnosis for coronary artery disease(CAD).Methods:TET in 245 cases were performed according to Broce′s program.89 positive cases were divided into angina group(group A)and nonangina group (group B).Multivariate indexes were compared among group A,B and normal controls(group C).Results:The exercise time and maximal heart rate of group A were lower than that of group B and C(P<0.05～0.01).The exercise blood pressure of group C was higher than that of group A (P<0.01).The degree of depth of ST segment depression in group A was more than that in group B(P<0.01)and the grade of ST segment depression of group A was earlier than that in group B(P<0.05).Conclusion:The judgment accuracy for CAD by analysis on the multivariate indexes of TET is evidently higher.

关 键 词：冠心病 心电图 运动试验 诊断 

分 类 号：R541.4[医药卫生—心血管疾病]