临床拟诊冠心病患者行冠脉造影的结果分析

Coronary angiography results'analysis of the coronary heart disease patients in clinical diagnosis

目的探讨冠脉造影(CAG)与不同临床症状、心电图改变及危险因素的相关性。方法106例患者以症状分为心肌梗死、典型心绞痛、不典型胸痛三组;以心电图改变分为有ST-T改变组及无ST-T改变组。分别计算CAG阳性率,同时计算合并不同危险因素患者CAG阳性率,分析其相关性。结果心肌梗死组CAG阳性率为100%,典型心绞痛组CAG阳性率为88.73%,心电图有ST-T改变组CAG阳性率为92.21%,典型心绞痛合并心电图ST-T改变组的CAG阳性率为93.85%,合并2个或2个以上危险因素患者CAG阳性率为88.89%。结论冠状动脉造影是诊断冠心病最有效的方法。临床症状、心电图改变及危险因素分析在冠心病的诊断中都有各自较高的价值。

Objective To explore the relevance of coronary angiography(CAG) and different clinical symptoms,electrocardiogram change or risk factors.Methods 106 patients were divided into three groups:myocardial infarction,typical angina and untypical chest pain;or divided into two groups by ECG change:change in ST-T and no change in ST-T.The positive rate of CAG and the positive rate of different patients with different risk factors were calculated to explore the relevance of them.Results The CAG positive rate of myocardial infarction group and typical angina group were 100%and 88.73%,respectively.The CAG positive rate of ECG change in ST-T group and typical angina combined with ECG change in ST-T group were 92.21%and 93.85%,respectively.The CAG positive rate of the patients with two or two more risk factors is 88.89%.Conclusion Coronary angiography is the most effective way in diagnosis of coronary heart disease.Clinical symptoms,ECG change and analysis of risk factors have a higher value in the diagnosis of coronary heart disease.