女性患者心电图ST-T异常与冠状动脉病变关系  

ASSOCIATION OF THE FEMALE PATIENTS WITH ABNORMAL ECG ST SEGMENT WITH CORONARY HEART DISEASE

作　　者：于伊[1] 樊世明[1] 

机构地区：[1]青海大学附属医院心内科

出　　处：《青海医学院学报》2006年第3期221-222,225,共3页Journal of Qinghai Medical College

摘　　要：目的了解女性患者心电图ST-T异常的冠状动脉造影(CAG)结果,分析女性患者心电图ST-T异常与冠状动脉病变的关系。方法心电图ST-T异常的女性患者根据是否绝经分为A(绝经期前)、B(绝经后)两组,行CAG,将44例女性患者与54例男性患者CAG结果进行对比。绝经后女性(B组)的CAG结果与男性进行对比。结果CAG阳性率A组为12.5%,B组为53.6%,A、B组比较差异有显著性(P<0.01)。44例女性CAG阳性率为38.6%。54例男性患者阳性率为64.8%,两组比较差异有显著性(P<0.05)。B组女性CAG阳性率(53.6%)与男性CAG阳性率(64.8%)比较差异无显著性(P>0.05)。结论绝经期前心电图ST-T异常的女性患者,依此诊断冠心病应慎重。绝经后出现心电图ST-T异常,同时存在糖尿病等危险因素的女性患者其CAG阳性率较高。*Objective To find out the relationship between ECG ST - T abnormality with coronary arteriongraphy （CAG） in female patient. Methods Female patients was divided into two groups, group A： before -menopause; group B ： post - menopause. 54 male patients with ECG ST - T abnormility were also enrolled Coronary arteriongraphy was performed in all patients. And the incidence of CAG was compared between females and males, group A and group B, group B and male patients. Results The incidence of CAG in group A is significantly lower than in group B （ 12.5% vs 53.6%, P 〈0.01）, and females had lower incidence of CAG than male patients （38.6% vs 64.8%, P 〈 0.05）, no significant different was found between group B and male patients （53.6% vs 64.8%, P 〉0.05 ）. Conclusion The diagnosis of coronary artery disease should be carefully made in before - menopause women with ECG ST - T abnormility at rest. The incidence of coronary artery disease rise in post - menopause women with some risk factors such as diabetes.

关 键 词：心电图ST—T异常 女性患者 冠状动脉造影 阳性率 

分 类 号：R541.4[医药卫生—心血管疾病]