女性心肌缺血患者116例心得安试验结果分析  

Analysis of the Result of Propranolol Test on 116 Female Patients with Myocardial Ischemia

作　　者：郭艳萍[1] 刘庆彦 张广东 

机构地区：[1]河南省周口师范学院校医院内科,河南周口466001 [2]河南省郸城县公疗医院心内科,河南郸城477150

出　　处：《中国现代医生》2007年第09X期8-9,共2页China Modern Doctor

摘　　要：目的探讨心得安试验在女性冠心病临床诊断中的应用价值及其结果与绝经各期的关系。方法对116例常规心电图符合心肌缺血的女性患者进行心得安试验,对比分析其结果及与绝经各期的关系。结果116例患者中,心得安试验阳性者99例(占85.3%)。其中绝经前期62例,阳性者56例(占90.3%);绝经期29例,阳性者26例(占89.7%);绝期后期25例,阳性者17例(占68.0%)。绝经前期阳性率>绝经期阳性率>绝经后期阳性率。绝经后期阳性率与前两期比较,差异具有显著性(P<0.01)。结论心得安试验结果与绝经各期明显相关,在临床对女性冠心病的鉴别诊断上具有重要的参考价值。Objective To discuss the value of the propranolol test in the clinical diagnosis of coronary heart disease and the relationship between its＇ results and menopause. Methods The propranolol test was applied to the 116 cases of female patients whose electrocardiograms conform to myocardial ischemia. The results were compared with the stages of menopause. Results There were 99 （85.3%）positive cases of propranolol test in the 116 cases. Among 62 cases in the early stage of menopause, 56 （90.3%）cases were positive;29 cases in the menopause stage, 26 （89.7%）cases were positive;25cases in the late stage of menopause, 17 （68.0%）cases were positive. The result shows that the positive rate was higher in the early stage of menopause than in the menopause stage, and the latter was higher than in the later stage of menopause than in the menopause, and the latter was higher than in the later stage of menopause. The positive rate was the late stage of menopause in significantly higher （P 〈 0.01 ）than the other two stages. Conclusion There are significant correlations between the propranolol test and the stages of menopause, which is an important reference for the clinical diagnosis of the coronary heart disease for climacteric female patients.

关 键 词：心得安试验 非特异性ST-T改变 绝经期 

分 类 号：R542.2[医药卫生—心血管疾病]