心得安试验174例结果分析

Analysis of the results of propranolol test in 174 cases

目的 探讨不同年龄、不同性别人群行心得安试验的特点.方法 回顾性分析医院行心得安试验的174例患者的信息,根据不同年龄段（10-20岁、21-30岁、31-40岁、41-50岁、51-60岁）和性别（男或女）进行分组,比较其试验前后心电图变化.结果 174例心得安试验结果显示,心得安试验阳性117例（67.2％）,其中21-30岁年龄段比例最高,共74例（男24例,女50例）;心得安试验阴性共32例（18.4％）,其中51-60岁年龄段比例最高,共8例（男2例,女6例）.结论 心得安试验是协助诊断不同年龄段患者有无器质性心脏病的有效无创性检查方法.

Objective To investigate the characteristics of propranolol test in different ages and different genders. Methods A retrospective analysis was made of the 174 patients underwent propranolol test,according to different age groups （10 - 20 years old,21 - 30 years old,31 - 40 years old,41 - 50 years old,51 - 60 years old）and gender （male or female）,the electrocardiogram （ecg）changes before and after the test were compared. Results The 174 propranolol test results showed that,positive prop-ranolol test was found in 117 cases （67. 2%）,with the highest proportion in 21 - 30 years,with 74 ca-ses （24 female and 50 female）. There were 32 cases （18. 4%）of negative propranolol test,among which the proportion was highest among 51 to 60 years,with 8 cases （2 male,6 female ）. Conclusions The propranolol test is an effective noninvasive method to help diagnose the presence of or-ganic heart disease in patients with different age groups.