常规静息心电图ST-T改变在老年冠心病诊断中的临床价值  

Clinical value of routine resting electrocardiogram ST-T change in the diagnosis of aged coronary heart disease

作　　者：林继华 姚静[2] 

机构地区：[1]浙江省衢州市衢化医院门诊心电图室,浙江衢州324000 [2]南京医科大学第一附属医院,江苏南京210029

出　　处：《中国医药导报》2013年第28期138-140,共3页China Medical Herald

基　　金：江苏省教育厅高校自然科学研究项目(编号10KJD320001)

摘　　要：目的 探讨常规静息心电图ST-T改变在老年冠心病的诊断中的临床价值,并对其进行评估.方法 抽取2010年3月～2013年1月于浙江省衢州市衢化医院住院的78例老年冠心病患者,所有患者均显示冠心病临床症状,均行常规静息心电图检查和冠状动脉造影检查,结合临床症状对两种检查方法在老年冠心病的诊断准确率进行比较并分析.结果 78例临床症状显示为冠心病的患者中,常规静息心电图检查确诊29例,准确率为37.2％;而冠状动脉造影检查确诊69例,准确率为85.9％.结论 在老年冠心病的诊断中,如果用常规静息心电图ST-T的改变作为诊断标准,其诊断可能会出现较大偏差.临床上应该结合冠状动脉造影和患者的临床症状进行诊断,这样准确率将大大提高.Objective To study and evaluate the clinical value of normal resting electrocardiogram ST-T change in the diagnosis of aged coronary heart disease （CHD）.Methods 78 cases in-patients with coronary heart disease were randomly selected from March 2010 to January 2013 in Quhua Hospital of Quzhou City in Zhejiang Province.All the cases had coronary heart disease clinical symptoms,and were examined by electro cardiogram and coronary angiography,the diagnosis precision of aged coronary heart disease detected by these two methods were compared and analyzed combined with clinical symptoms.Results 78 cases with coronary heart disease clinical symptoms,29 cases were diagnosed coronary heart disease by normal resting electrocardiogram,and 69 cases were diagnosed by coronary angiography,the accurate diagnosis rate were 37.2％ and 85.9％,respectively.Conclusion In the diagnosis of aged CHD,greater deviation may be occurred by just using ST-T change of normal resting electrocardiogram as a diagnostic standard,and the accuracy rate will be largely improved by combining coronary angiography with clinical symptoms.

关 键 词：常规静息心电图 ST-T改变 老年冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]