对259例非特异性ST-T段异常改变者心得安试验结果的分析  

Analysis of the results of propranolol test in 259 patients with st-T segment abnormality

作　　者：罗艳华 李欣慰 徐梦姿 张耀 刘泽军 LUO Yanhua;LI Xinwei;XU Mengzi;ZHANG Yao;LIU Zejun(Department of Electrophysiology,The Second Affiliated Hospital of Shaoyang University,Shaoyang 422400,Hunan,China)

机构地区：[1]邵阳学院附属第二医院电生理科,湖南邵阳422400

出　　处：《当代医药论丛》2022年第10期144-146,共3页

基　　金：邵阳市科技计划项目:《35岁以内人群体检心电图出现ST-T异常进行心得安试验的临床研究》,项目编号:2020GZ49。

摘　　要：目的:分析259例出现非特异性ST-T异常改变患者心得安试验的结果。方法:选取2019年10月至2020年10月在邵阳学院附属第二医院就诊的259例出现非特异性ST-T异常改变的患者,对其进行心得安试验,然后分析其试验结果。结果:1)259例患者中心得安试验结果为阳性的患者有226例(占87.26%),为改善的患者有17例(占6.56%),为阴性的患者有16例(占6.18%)。心得安试验结果为阳性的226例患者中有女性患者221例(占97.79%),男性患者5例(2.21%)。心得安试验结果为改善的17例患者中有女性患者11例(占64.71%),男性患者6例(35.29%)。心得安试验结果为阳性的16例患者中有女性患者10例(占62.50%),男性患者6例(37.50%)。心得安试验结果为阳性的患者中,女性患者的占比较高。2)33例心得安试验结果为改善、阴性的患者中有21例女性患者,12例男性患者。进行冠状动脉造影检查的结果显示,21例女性患者中有3例患者(占14.29%)存在冠状动脉病变,12例男性患者中有9例患者(占75.00%)存在冠状动脉病变。结论:在出现非特异性ST-T异常改变的患者中,女性患者出现功能性ST-T改变的几率高于男性患者,其出现器质性ST-T改变的几率低于男性患者。Objective:To analyze the results of propranolol test in 259 patients with non-specific ST-T abnormalities.Methods:A total of 259 patients with non-specific ST-T abnormalities admitted to the Second Affiliated Hospital of Shaoyang University from October 2019 to October 2020 were selected to conduct propranolol test,and then analyze the test results.Results:1)Among 259 patients,226 patients(87.26%)were positive,17 patients(6.56%)were improved,and 16 patients(6.18%)were negative.Of the 226 patients who were positive for propranolol,221(97.79%)were female and 5(2.21%)were male.Among the 17 patients who showed improvement on propranolol,11(64.71%)were female and 6(35.29%)were male.Among the 16 patients with positive propranolol test results,10 were female(62.50%)and 6 were male(37.50%).A higher proportion of patients with positive propranolol test results were female.2)Of the 33 patients with improved,negative propranolol test results,21 were female and 12 were male.Coronary angiography revealed coronary artery disease in 3 of the 21 female patients(14.29%)and 9 of the 12 male patients(75.00%).Conclusions:Among patients with non-specific ST-T abnormalities,the incidence of functional ST-T changes in female patients is higher than that in male patients,and the incidence of organic ST-T changes is lower than that in male patients.

关 键 词：心得安试验 非特异性ST-T异常改变 自主神经功能紊乱 冠状动脉病变 

分 类 号：R44[医药卫生—诊断学]