体检人群心电图ST-T异常联合臂踝脉搏波传导速度在颈动脉硬化筛查中的价值  

Value of electrocardiogram ST-T abnormity combined with brachial-ankle pulse wave velocity in screening of carotid atherosclerosis in physical examination people

作　　者：徐振萍[1] 李素珊 庞莉[1] 梁小燕[1] 邱晓俊[1] 刘忠民[1] 

机构地区：[1]广东省深圳市龙岗区人民医院体检科,518172

出　　处：《中国实用医药》2016年第11期7-9,共3页China Practical Medicine

基　　金：2013年深圳市龙岗区科技计划项目(项目编号:YS2013029)

摘　　要：目的探讨臂踝脉搏波传导速度(ba PWV)联合ST-T异常在颈动脉硬化筛查中的应用价值。方法 119例体检科健康体检者,根据颈动脉超声检查结果将其分为颈动脉硬化组(58例)和非硬化对照组(61例)。所有入选者在颈动脉检测的同时应用脉搏波速度测量系统测量ba PWV和心电图,以评价ba PWV联合心电图对颈动脉硬化的筛选价值。结果颈动脉硬化组与非硬化对照组心电图ST-T异常发生率及ba PWV比较差异均有统计学意义(P<0.05或P<0.01)。联合ba PWV与心电图检测的灵敏度与特异度高于单独检测(P<0.05)。结论 ba PWV与心电图ST-T异常联合检测可显著提高颈动脉硬化的检出率。Objective To investigate application value of brachial-ankle pulse wave velocity（ba PWV） combined with ST-T abnormity in screening of carotid atherosclerosis. Methods A total of 119 healthy people in physical examination were divided by carotid artery ultrasound examination result into carotid atherosclerosis group（58 cases） and non-sclerotic control group（61 cases）. All the patients received ba PWV detection and electrocardiogram during carotid artery examination for evaluation of screening value by combination of ba PWV and electrocardiogram for carotid atherosclerosis. Results The differences of incidence of electrocardiogram ST-T abnormity and ba PWV between the carotid atherosclerosis group and non-sclerotic control group had statistical significance（P〈0.05 or P〈0.01）. Detection by ba PWV combined with electrocardiogram provided higher sensitivity and specificity than single application in detection（P〈0.05）. Conclusion Combination of ba PWV and electrocardiogram ST-T abnormity can remarkably improve detection rate of carotid atherosclerosis.

关 键 词：颈动脉硬化 脉搏波传导速度 心电图 

分 类 号：R540.41[医药卫生—心血管疾病] R543.4[医药卫生—内科学]