运动平板试验结合相关危险因素在诊断冠心病中的应用价值  

作　　者：金星星[1] 顾旭东 马小欣[1] 

机构地区：[1]浙江省宁波市医疗中心李惠利医院,315040

出　　处：《浙江临床医学》2017年第12期2260-2261,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨运动平板试验结合相关危险因素对冠心病的诊断价值。方法行运动平板试验为阳性并于1周内行冠脉造影的患者102例，根据冠脉造影结果分为真阳性组（A组）和假阳性组（B组），并分别对两组临床资料进行分析。而真阳性组又分为单支病变、两支痛变、三支及主干病变组，进行亚组分析。结果假阳性比例女性较男性显著升高。B组较A组年龄更低，两组有显著差异。A组较B组患者合并危险因素≥2个的比例更高，两组有显著差异。随着冠脉病变程度加重，低密度脂蛋白呈现升高趋势。结论运动平板试验结合相关的危险因素是较好的筛选冠心病的无创检查。Objective To discuss the diagnostic value of treadmill exercise test combined with risk factors in coronary artery diseases. Methods 102 patients with positive treadmill exercise test in our clinic and all patients underwent selective coronary angiography within one week after the treadmill exercise test were analyzed. The patients were divided into two groups according to their coronary angiography results： true-positive group （ group A ） and false-positive group （ group B ） , and clinical data between two groups were analyzed. Furthermore, true-positive group was subdivided into one-branch-lesion group, two-branch-lesion group and three-branch-lesion/left main group, and clinical data between three groups were analyzed. Results Group B had significantly more female patients and younger age than group B. The ratio of patients with more than two risk factors in group B was significantly higher in group A.The levels of LDL-C showed an increasing tend as the progressing of the lesion of the coronary artery. Conclusion Treadmill exercise test combined with risk factors is a good non-invasive method for screening of coronary artery disease.

关 键 词：冠心病 冠状动脉造影 运动平板 

分 类 号：R587.1[医药卫生—内分泌]