超声检查与心电图检查诊断老年肺心病合并冠心病的准确性及临床价值  

Accuracy and clinical value of ultrasonography and electrocardiography in the diagnosis of senile pulmonary heart disease combined with coronary heart disease

作　　者：尹月芬 Yin Yue-fen(The Fourth Hospital of Changsha,Changsha 410000,Hunan Province,China)

机构地区：[1]长沙市第四医院,湖南长沙410000

出　　处：《中国社区医师》2022年第26期79-81,共3页Chinese Community Doctors

摘　　要：目的:分析超声检查与心电图检查诊断老年肺心病合并冠心病的准确性及临床价值。方法:选取2020年7月-2021年4月长沙市第四医院收治的84例冠心病与肺心病合并冠心病患者作为研究对象,其中冠心病与肺心病合并冠心病各47例。两组均行超声心动图与心电图检查,对检查结果进行分析。结果:冠心病组检出率95.74%(45例),肺心病合并冠心病组检出率97.87%(46例),两组比较,差异无统计学意义(P>0.05)。两组房室传导阻滞检出率比较,差异无统计学意义(P>0.05);冠心病组肺性P波、心电轴右偏检出率低于肺心病合并冠心病组,心电轴左偏检出率高于肺心病合并冠心病组,差异有统计学意义(P<0.05)。结论:应用超声检查与心电图检查诊断冠心病与肺心病合并冠心病的检出率较高,同时能够检出两种疾病在肺性P波、心电轴左偏及心电轴右偏中的区别,建议在临床检查中应用并予以推广。Objective: To analyze the accuracy and clinical value of ultrasonography and electrocardiography in the diagnosis ofsenile pulmonary heart disease combined with coronary heart disease. Methods: Eighty-four patients with coronary heart diseaseand pulmonary heart disease combined with coronary heart disease who were admitted to The Fourth Hospital of Changsha fromJuly 2020 to April 2021 were selected as the research subjects, including 47 cases of coronary heart disease and 47 cases ofpulmonary heart disease combined with coronary heart disease. Echocardiography and electrocardiography were performed in bothgroups, and the results were analyzed. Results: The detection rate of coronary heart disease group was 95.74%(n=45), the detectionrate of cor pulmonale combined with coronary heart disease group was 97.87%(n=46), and there was no significant differencebetween two groups(P>0.05). There was no significant difference in the detection rate of atrioventricular block between the twogroups(P>0.05). The detection rate of pulmonary P wave and ECG axis right deviation in the coronary heart disease group waslower than that in the pulmonary heart disease combined with coronary heart disease group, and the detection rate of the left ECGaxis deviation was higher than that in the pulmonary heart disease combined coronary heart disease group, and the differences werestatistically significant(P<0.05). Conclusions: The application of ultrasonography and electrocardiography in the diagnosis ofcoronary heart disease and pulmonary heart disease combined with coronary heart disease has a higher detection rate, and candetect the difference between the two diseases in pulmonary P wave, left ECG axis deviation and right ECG axis deviation. It isrecommended to be applied and promoted in clinical examination.

关 键 词：肺心病合并冠心病 超声诊断 心电图 

分 类 号：R541[医药卫生—心血管疾病]