床旁快速肌钙蛋白T、D-二聚体及心电图检测对急性胸痛患者的应用价值分析  

Value Analysis of Bedside Rapid Troponin T,D-dimer and Electrocardiogram in Patients with Acute Chest Pain

作　　者：孙键毅 麦煜华 何嘉琪 SUN Jianyi;MAI Yuhua;HE Jiaqi(International Medical Center,Zhongshan Chen Xinghai Hospital of Integrated Traditional Chinese and Western Medicine,Zhongshan 528415,Guangdong,China;Department of Emergency,Zhongshan Chen Xinghai Hospital of Integrated Traditional Chinese and Western Medicine,Zhongshan 528415,Guangdong,China;Health Management Center,Zhongshan Chen Xinghai Hospital of Integrated Traditional Chinese and Western Medicine,Zhongshan 528415,Guangdong,China)

机构地区：[1]中山陈星海中西医结合医院国际医疗中心,广东中山528415 [2]中山陈星海中西医结合医院急诊科,广东中山528415 [3]中山陈星海中西医结合医院健康管理中心,广东中山528415

出　　处：《世界复合医学(中英文)》2025年第1期165-168,共4页World Journal of Complex Medicine

摘　　要：目的探讨床旁快速肌钙蛋白T、D-二聚体及心电图检测对急性胸痛患者的应用价值。方法选取2020年4月—2023年7月中山陈星海中西医结合医院收治的80例疑似急性胸痛患者为研究对象。以临床综合诊断为金标准,对所有疑似急性胸痛患者展开床旁快速肌钙蛋白T诊断、D-二聚体诊断、心电图诊断,对比3种检查方法诊断急性胸痛的诊断效能。结果所有疑似急性胸痛患者的临床综合诊断结果中,阳性52例,阴性28例;床旁快速肌钙蛋白T+D-二聚体+心电图三者联合诊断中,阳性51例,阴性29例。三者联合诊断急性胸痛患者的诊断特异度、灵敏度以及准确度均高于各自单独诊断,差异均有统计学意义(P均<0.05)。结论在临床诊断急性胸痛患者期间,运用床旁快速肌钙蛋白T、D-二聚体及心电图检测三者联合诊断可明显提升急性胸痛患者的诊断效能。Objective To investigate the clinical value of bedside rapid troponin T,D-dimer and electrocardiogram in the diagnosis of acute chest pain.Methods A total of 80 patients with suspected acute chest pain admitted to Zhongshan Chen Xinghai Hospital of Integrated Traditional Chinese and Western Medicine from April 2020 to July 2023 were selected as the research objects.With clinical comprehensive diagnosis as the gold standard,bedside rapid troponin T diagnosis,D-dimer diagnosis,electrocardiogram diagnosis were performed on all patients with suspected acute chest pain,and the diagnostic efficacy of the three methods in the diagnosis of acute chest pain was compared.Results Among the clinical comprehensive diagnosis results of all patients with suspected acute chest pain,52 cases were positive and 28 cases were negative.In the combined diagnosis of bedside rapid troponin T+D-dimer+electrocardiogram,51 cases were positive and 29 cases were negative.The diagnostic specificity,sensitivity and accuracy of the combined diagnosis of acute chest pain were higher than those of the single diagnosis,and the differences were statistically significant(all P<0.05).Conclusion During the clinical diagnosis of patients with acute chest pain,the combined diagnosis of bedside rapid troponin T,D-dimer and electrocardiogram can significantly improve the diagnostic efficacy of patients with acute chest pain.

关 键 词：床旁快速肌钙蛋白T D-二聚体 心电图 急性胸痛 诊断效能 

分 类 号：R542.22[医药卫生—心血管疾病] R446.6[医药卫生—内科学]