摘要
目的观察探讨老年冠心病患者临床诊断过程中心脏超声与颈部血管超声联合应用价值。方法选择青海红十字医院2022年1月至2023年11月收治100例疑似老年冠心病患者为研究对象,入院后均进行心脏超声、颈部血管超声检查,比较老年冠心病患者与老年非冠心病患者、单支与多支血管病变患者的斑块积分、心肌综合指数、颈动脉内膜中层厚度;并参照冠状动脉造影结果,计算心脏超声单一诊断效能、颈部血管超声单一诊断效能、心脏超声与颈部血管超声联合诊断效能。结果冠状动脉造影检查确诊89例老年冠心病患者,心脏超声与颈部血管超声联合诊断符合率88.0%高于心脏超声单一诊断符合率75.0%、颈部血管超声单一诊断符合率77.0%(P<0.05)。老年冠心病患者斑块积分、心肌综合指数、颈动脉内膜中层厚度高于老年非冠心病患者(P<0.05)。多支血管病变患者斑块积分、心肌综合指数、颈动脉内膜中层厚度高于单支血管病变患者(P<0.05)。以冠状动脉造影为金标准,心脏超声与颈部血管超声联合诊断准确性95.0%、灵敏度96.6%,均高于心脏超声单一诊断准确性(78.0%)、灵敏度(79.8%)与颈部血管超声单一诊断准确性(78.0%、80.9%)(P<0.05)。结论老年冠心病患者临床诊断过程中心脏超声与颈部血管超声联合应用价值更高,能够为临床准确诊断及病情评估提供重要参考。
Objective To observe and explore the combined application value of cardiac ultrasound and cervical vascular ultrasound in the clinical diagnosis of elderly patients with coronary heart disease.Methods From January 2022 to November 2023,Qinghai Red Cross Hospital admitted 100 suspected elderly patients with coronary heart disease.After admission,cardiac ultrasound and neck vascular ultrasound examinations were performed to compare the plaque score,myocardial comprehensive index,and carotid intima-media thickness between elderly patients with coronary heart disease and non-coronary heart disease,as well as patients with single and multiple vessel lesions.Referring to the results of coronary angiography,calculate the single diagnostic efficacy of cardiac ultrasound,single diagnostic efficacy of cervical vascular ultrasound,and combined diagnostic efficacy of cardiac ultrasound and cervical vascular ultrasound.Results Coronary angiography confirmed 89 elderly patients with coronary heart disease,and the combined diagnostic accuracy of cardiac ultrasound and cervical vascular ultrasound was 88.0%,which was higher than the single diagnostic accuracy of cardiac ultrasound(75.0%)and cervical vascular ultrasound(77.0%)(P<0.05).The plaque score,myocardial comprehensive index,and carotid intima-media thickness of elderly patients with coronary heart disease were significantly higher than those of elderly non-coronary heart disease patients(P<0.05).The plaque score,myocardial composite index,and carotid intima-media thickness in patients with multi-vessel disease were higher than those in patients with single-vessel disease(P<0.05).Using coronary angiography as the gold standard,the combined diagnostic accuracy of cardiac ultrasound and cervical vascular ultrasound was 95.0%and sensitivity was 96.6%,both higher than the single diagnostic accuracy of cardiac ultrasound(78.0%)and sensitivity(79.8%),and the single diagnostic accuracy of cervical vascular ultrasound(78.0%and 80.9%)(P<0.05).Conclusion The combination of cardiac ultrasound and cervical vascular ultrasound has higher value in the clinical diagnosis of elderly patients with coronary heart disease,and can provide important references for accurate clinical diagnosis and disease assessment.
作者
王萍
瓦增成
韩灿
Wang Ping;Wa Zengcheng;Han Can(Department of Ultrasound,Qinghai Red Cross Hospital,Xining810000,China)
出处
《实用医学影像杂志》
2024年第5期339-342,共4页
Journal of Practical Medical Imaging
关键词
冠心病
老年人
超声检查
诊断效能
Coronary disease
Aged
Ultrasonography
Diagnostic efficacy
