摘要
目的分析心电图配合临床检验指标检测诊断冠心病的意义。方法选256例冠状动脉造影患者,据是否达冠心病标准分组,为对照组和实验组,对两组心电图及临床检验指标结果进行对比。结果联合诊断发现,整体上联合诊断灵敏度有所下降,特异度均有提高。其中灵敏度最高的为ECG+hs-CRP联合诊断方法(92.19%),特异度最高的为Apo A1+hs-CRP联合诊断方法(90.62%),而三因素联合诊断获得了最高的特异度(90.62%)。平行联合诊断的灵敏度有提高,而特异性有所下降。结论在诊断冠心病时,采用心电图配合临床检验指标检测可有效提高诊断的灵敏度和特异性。
Objective To analyze the clinical significance of ECG detection and clinical examination index in the diagnosis of coronary heart disease. Methods 256 cases of patients with coronary heart disease underwent coronary angiography were divided into control group and experimental group according to the eligibility of coronary heart disease, ECG and clinical test results compared. Results The combined diagnosis showed that the overall combined diagnostic sensitivity decreased versus increased specificity, with highest sensitivity of ECG＋hs-CRP （92.19%） versus highest specificity of ApoAl＋hs- CRP （90.62%） The three factors combination showed the highest specificity （90.62%） nevertheless with improved sensitivity and decreased specificity of parallel combined diagnosis. Conclusion The clinical examination index combined with ECG detection can improve the sensitivity and specificity in diagnosis of coronary heart disease.
出处
《中国继续医学教育》
2017年第12期64-66,共3页
China Continuing Medical Education
关键词
心电图
临床检验指标
冠心病
灵敏度
electrocardiogram
clinical examination index
coronary heart disease
sensitivity
