标准12导联心电图与标准监护Ⅱ导联监测变异型心绞痛的临床对照研究  

Clinical Control Study of Standard 12-lead Electrocardiogram (ECG) United with the Standard Monitoring Ⅱ Guide Union Monitoring Variant Angina Pectoris

作　　者：景培春 柏明成 李强[1] 

机构地区：[1]四川省盐亭县人民医院心内科,四川盐亭621600

出　　处：《中国医药指南》2013年第19期415-416,共2页Guide of China Medicine

摘　　要：目的探讨标准12导联心电图与标准监护Ⅱ导联监测变异型心绞痛(variant angina pectoris,VAP)的临床对照研究。方法共纳入85例VAP患者作为病例组,入院后给予患者相关的对症支持治疗,同时随机选取90例无心脏疾病的健康人作为对照组,并给予两组人群标准12导联心电图监测措施及标准监护Ⅱ导联监测措施。以标准12导联心电图为金标准,评价标准监护Ⅱ导联方法对心肌缺血监测的有效性及敏感性。结果以标准12导联心电图为金标准,标准监护Ⅱ导联仅监测出64例患者发生VAP,且有16例健康人误诊为有VAP发生,其对VAP的诊断敏感度为75.3%,特异度为82.2%,阳性似然比为0.80,阴性似然比0.78。结论与标准12导联心电图相比,标准监护Ⅱ导联的诊断敏感度及特异度均比较低,在临床工作中不能单独依靠标准监护Ⅱ导联进行VAP的诊断,否则易延误患者的治疗或误诊患者的病情。Objective To explore standard 12-lead electrocardiogram （ECG） united with the standard monitoring rl guide union monitoring variant angina pectoris （variant angina pectoris, VAP） clinical control study. Methods Participants included 85 cases of patients with VAP cases as z group, to give patients after admission related suit support therapy, and random select 90 cases of healthy people without heart disease as control group, and give two group standard 12 lead ecg monitoring measures and united standard monitoring II guide union monitoring measures. In standard 12-lead electrocardiogram （ECG） united for the gold standard, evaluation standard monitoring /I guide group methods myocardial ischemia monitoring effectiveness and sensitivity. Results In standard 12-lead electrocardiogram （ECG） united for the gold standard, the standard monitoring lI guide group only out of 64 cases of monitoring in patients with VAP, and 16 cases misdiagnosed as a healthy VAP occurs, the diagnosis of VAP were 75.3% and 82.2%, respectiely） for, positive likelihood.ratio 0.80, negative likelihood ratio of 0.78. Conclusion With the standard 12-lead electrocardiogram （ECG） group, compared to standard monitoring II guide league diagnostic sensitivity and specific degrees are relatively low, in the clinical work alone cannot rely on standard monitoring I1 guide group for the diagnosis of VAP, otherwise easy to delay the treatment of patients or patients with diagnosis of the disease.

关 键 词：标准12导联心电图 标准监护Ⅱ导联 变异型心绞痛 

分 类 号：R541.4[医药卫生—心血管疾病]