急诊床旁超声心动图在急性心肌梗死中的诊断价值研究  

Diagnostic Value of Emergency Bedside Echocardiography in the Diagnosis of Acute Myocardial Infarction

作　　者：樊芹 FAN Qin(Department of Ultrasound,Ningyang County First People's Hospital,Tai'an,Shandong Province,271400 China)

机构地区：[1]宁阳县第一人民医院超声科,山东泰安271400

出　　处：《世界复合医学》2024年第2期96-99,共4页World Journal of Complex Medicine

摘　　要：目的观察急性心肌梗死患者中急诊床旁超声心动图的应用效果。方法随机选取2022年3月—2023年3月在宁阳县第一人民医院就诊的疑似急性心肌梗死的80例患者为研究对象,以最终冠状动脉造影、介入或外科手术结果等为金标准,所有患者入院后30 min内接受常规十二导联心电图检查和急诊床旁超声心动图检查,对比两种检查方法的疾病诊断准确度、灵敏度、特异度。结果心动图对急性心肌梗死的诊断准确度为86.25%,高于心电图(65.00%),差异有统计学意义(χ^(2)=9.799,P<0.05)。结论在急性心肌梗死诊断中采用急诊床旁超声心动图,可提升疾病诊准确度,在短时间内给予更加准确的诊断,有助于对症治疗。Objective To observe the effect of bedside echocardiography in emergency diagnosis of acute myocardial infarction.Methods Eighty patients with suspected acute myocardial infarction treated in the First People's Hospital of Ningyang County from March 2022 to March 2023 were randomly selected as the study subjects,and the final coronary angiography,interventional or surgical results were taken as the"gold standard".All patients received routine 12-lead electrocardiogram and emergency bedside echocardiography within 30 min after admission.They were named electrocardiogram group and cardiogram group,and the accuracy,sensitivity and specificity of disease diagnosis were compared between the two methods.Results The diagnostic accuracy of AMI in the cardiogram group was 86.25%,higher than that in the electrocardiogram group(65.00%),and the difference was statistically significant(χ^(2)=9.799,P<0.05).Conclusion The use of emergency bedside echocardiography in the diagnosis of acute myocardial infarction can improve the diagnosis accuracy of the disease and give a more accurate diagnosis in a short time,which is helpful for symptomatic treatment.

关 键 词：急诊床旁超声心动图 急性心肌梗死 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]