分析运动平板试验临床应用价值

Analysis of Clinical Application Value of Exercise Plate Test

目的通过比较运动平板试验与冠脉造影结果,分析其临床应用价值。方法方便收集2018年4-12月入住该院心内科75例疑似冠心病患者,所有患者均行运动平板试验与冠状动脉造影检查。结果运动平板试验中阳性率72.0%,而冠状动脉造影术为53.3%,两者比较差异有统计学意义(χ^2=4.688,P<0.05)。运动平板试验的灵敏度为82.5%。将结果按性别分别分析,男性患者和女性患者运动平板试验阳性率分别为72.7%、70.0%,而冠状动脉造影术分别为56.4%、45.0%,其中女性患者比较差异有统计学意义(χ^2=7.013,P<0.05)。按受累血管数目分组为0支,单支,多支,运动平板试验阳性率分别为50.0%,75.0%,83.9%,3组间比较差异有统计学意义(χ^2=7.076,P<0.05)。结论运动平板试验对诊断冠心病的敏感性较好,且受累血管数目越多阳性率越高,可作为初筛冠心病的方法,但有假阳性现象,以女性患者影响更明显。因此在冠心病筛查时应多方面综合分析以提高诊断准确性。

Objective To compare the clinical application value of exercise plate test and coronary angiography.Methods Convenient a total of 75 patients with suspected coronary heart disease who were admitted to our Department of Cardiology from April 2018 to December 2018 were enrolled.All patients underwent exercise plate and coronary angiography.Results The positive rate was 72.0% in the exercise plate test and 53.3% in the coronary angiography.The difference was statistically significant (χ^2=4.688,P<0.05).The sensitivity of the exercise plate test was 82.5%.The results were analyzed by gender.The positive rate of exercise plate test in male patients and female patients was 72.7% and 70.0%,respectively,while coronary angiography was 56.4% and 45.0%,respectively.Among them,the difference was statistically significant (χ^2=7.013,P<0.05).According to the number of affected vessels,the scores were 0,single,and multiple.The positive rate of exercise plate test was 50.0%,75.0%,and 83.9%,respectively.The difference between the three groups was statistically significant (χ^2=7.076,P<0.05).Conclusion The exercise plate test is more sensitive to the diagnosis of coronary heart disease,and the higher the number of affected blood vessels,the higher the positive rate.It can be used as a method for screening coronary heart disease,but there is a false positive phenomenon,which is more obvious in female patients.Therefore,in the screening of coronary heart disease should be comprehensive analysis in many aspects to improve the diagnostic accuracy.