平板运动试验对冠心病的诊断价值

【作者】 潘蓉蓉；

【导师】 李占全；

【作者基本信息】 辽宁中医药大学 ， 中西医结合临床， 2011， 硕士

【摘要】 目的：通过以冠脉造影(CAG)为对照,评价平板运动试验(TET)对冠心病的诊断价值。材料与方法：随机选取50例可疑冠心病患者进行平板运动试验及冠脉造影结果分析。结果：1.50例患者中平板运动试验阳性33例,冠脉造影结果阳性22例；平板运动试验阴性17例,冠脉造影结果阳性5例。通过与CAG检查结果对比,分析TET检出冠心病的灵敏性为81.5%(22／27)、特异性为52.2%(12／23)、准确度为68%(34／50)。2.性别差异：灵敏性：男性83.3%、女性77.8%;特异性：男性44.4%、女性57.1%;阳性预测值：男性75%、女性53.8%;阴性预测值：男性57.1%、女性80%;准确性：男性70.4%、女性65.2%。女性的假阳性率明显高于男性(P<0.05)结论：1.平板运动试验是一种操作简单、安全、无创、经济的冠心病诊断辅助方法。2.平板运动试验有较高的敏感性和准确度,能够较准确地评估已明确冠心病的严重程度及判断患者治疗效果及预后。更多还原

【Abstract】 Purpose:To compare the treadmill exercise test (TET) results with coronary angiography, and to evaluate the diagnostic value of treadmill exercise test in coronary heart disease.Material and method:Randomly select 50 cases which were coronary heart disease suspeeively, and analyze the TET results compare with CAG images.Results:1.33 patients were positive in treadmill exercise test among 50 subjects.22 patients were positive, while 11 patients were negative in coronary angiography among the 33 positive patients in treadmill exercise test. There were 17 negative patients in treadmill exercise test with 5 positive and 12 negative patients in coronary angiography. The sensitivity, specificity and accuracy were 81.5%(22/27),52.2%(12/23),68%(34/50).2.Gender differences:The sensitivity, specificity and accuracy in male were 83.3%,44.4%, 70.4%. However, the sensitivity, specificity and accuracy in female were 77.8%,57.1%,65.2%.The false positive rate in female was higher than that in male(P<0.05).Conclusion:1. The Treadmill Exercise Test is a simply operated, safe, noninvasive and economic method of auxiliary diagnosis Coronary Heart Disease.2. The Treadmill Exercise Test has a higher sensitivity and accuracy, can accurately evaluate the severity of already clear Coronary Heart Disease patients and judgment cure effect and prognosis.更多还原