心电图检查结合临床特征在冠心病心绞痛诊断中的价值研究  

The Value of Electrocardiography Combined with Clinical Characteristics in the Diagnosis of Coronary Heart Disease Angina Pectoris

作　　者：程维欣 CHENG Weixin(Department of Electrocardiography,Nanjing Jiangning Hospital,Nanjing,Jiangsu 211100,China)

机构地区：[1]南京市江宁医院心电诊断科,江苏南京211100

出　　处：《中国医药指南》2025年第11期122-125,共4页Guide of China Medicine

摘　　要：目的探究心电图检查结合临床特征在冠心病心绞痛诊断中的价值。方法选取南京市江宁医院2023年1月至2024年1月收治的102例疑似冠心病心绞痛患者。予以所有患者心电图检查,并结合患者各项临床特征进行诊断,以冠状动脉造影结果为金标准,明确心电图检查结合临床特征在冠心病心绞痛中的诊断效能。结果心电图检查结合临床特征诊断的准确度、特异度以及敏感度分别为96.08%、96.88%、95.71%,相比于冠状动脉造影,差异无统计学意义(P>0.05)。结论心电图检查结合临床特征诊断冠心病心绞痛,可尽早协助医师明确患者实际病情状态,进而为后续治疗方案的制订提供有效的数据支持。Objective To investigate the value of electrocardiography combined with clinical characteristics in the diagnosis of coronary heart disease angina pectoris.Methods A total of 102 patients with suspected coronary heart disease angina from Nanjing Jiangning Hospital from January 2023 to January 2024 were selected.Electrocardiography was performed on these patients,and combined with the clinical characteristics of the patients for diagnosis,with coronary angiography results as the gold,to clarify the diagnostic efficacy of electrocardiography combined with clinical characteristics in coronary heart disease angina pectoris.Results The accuracy,specificity and sensitivity the diagnosis of electrocardiography combined with clinical characteristics were 96.08%,96.88%and 95.71%respectively,which was not significantly different compared with coronary angiography(P>0.05).Conclusions Electrocardiography combined with clinical characteristics for the diagnosis coronary heart disease angina pectoris can assist doctors to clarify the actual condition of patients as early as possible,and thus provide effective data support for the formulation of treatment plans.

关 键 词：冠心病 心绞痛 心电图 临床特征 诊断效能 

分 类 号：R541.4[医药卫生—心血管疾病]