运动平板心电图与常规心电图诊断冠心病的临床价值分析

Clinical value analysis of exercise treadmill ECG and routine electrocardiogram in the diagnosis of coronary heart disease

目的:研究并分析运动平板心电图与常规心电图诊断冠心病的临床价值。方法:收集医院2014年03月—2015年06月收治的冠心病患者50例,指定临床中经验丰富的主任医师进行研究操作。这50例冠心病患者均进行冠状动脉造影检查,并在一定的时间间隔期内均分别进行运动平板心电图与常规心电图检查。结果:常规心电图检查特异程度52%,敏感程度68%;运动平板心电图检查发现特异程度86%,敏感程度88%;运动平板心电图检查的特异程度及敏感程度均显著高于常规心电图检查(P<0.05)。结论:在冠心病的诊断中,运动平板心电图检查的特异程度及敏感程度均高于常规心电图检查,应用价值更高。

Objective： To study and analyze the clinical value of exercise treadmill electrocardiogram and routine electrocardiogram in the diagnosis of coronary heart disease. Methods： 50 cases of patients with coronary heart disease treated in our hospital from March 2014 to June 2015 were selected, experienced chief physician was nominated to carry out the research operations. Coronary angiography was performed in those 50 patients with coronary heart disease, and exercise treadmill ECG and routine ECG examination were performed at certain time intervals. Results： The specific degree of routine ECG examination was 52% and the sensitivity was 68%; The specific degree of exercise treadmill ECG was 86%, and the sensitivity was 88%; the specific and sensitive degree of exercise treadmill ECG examination were significantly higher than those of conventional ECG （P 〈 0.05）. Conclusion： The specificity and sensitivity of exercise treadmill ECG examination were higher than that of routine ECG examination in the diagnosis of coronary heart disease.