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心脏超声联合颈动脉超声对冠心病诊断的价值分析

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目的 探讨冠心病(CHD)患者采用心脏超声(UCG)联合颈动脉超声(CVUS)诊断的价值。方法 选取 2022年 3 月至 2023 年 4 月在开封市祥符区第一人民医院接受治疗的 105 例疑似CHD患者,以冠状动脉造影(CAG)作为诊断"金标准",均接受UCG、CVUS检查,对UCG、CVUS、联合检查的诊断效能进行比较,对CHD与非CHD患者UCG、CVUS检查进行比较。结果 联合检查的灵敏度、特异度、阳性预测值、阴性预测值、准确性高于UCG、CVUS单项检查,差异有统计学意义(P<0。05),UCG检查与CVUS检查灵敏度、特异度、阳性预测值、阴性预测值、准确性比较差异无统计学意义(P>0。05);CHD组左心室射血分数(LVEF)低于非CHD组,差异有统计学意义(P<0。05),左心室舒张末期容积(LVEDV)、心肌综合指数(Tei指数)、左心室收缩末期容积(LVESV)高于非CHD组,差异有统计学意义(P<0。05);CHD组斑块积分、颈动脉内膜中层厚度高于非CHD组,差异有统计学意义(P<0。05)。结论 UCG联合CVUS检查诊断CHD价值较高,效果优于单一检查。
The Value Analysis of Ultrasound-Cardiogram combined with Carotid Visa Ultrasound in the Diagnosis of Coronary Heart Disease
Objective To explore the diagnostic value of ultrasound-cardiogram(UCG)combined with carotid visa ultrasound(CVUS)in patients with coronary heart disease(CHD).Methods A total of 105 suspected CHD patients who received treatment at the First People's Hospital of Xiangfu District,Kaifeng City from March 2022 to April 2023 were selected.Coronary angiography(CAG)was used as the diagnostic gold standard,and all patients underwent UCG and CVUS examinations.The diagnostic efficacy of UCG,CVUS,and combined examinations was compared,and UCG and CVUS examinations were compared between CHD and non-CHD patients.Results The sensitivity,specificity,positive predictive value,negative predictive value,and accuracy of the combined examination were higher than those of UCG and CVUS single examination,with statistical significance(P<0.05).There was no statistically significant difference in sensitivity,specificity,positive predictive value,negative predictive value,and accuracy between UCG examination and CVUS examination(P>0.05);The left ventricular ejection fraction(LVEF)of the CHD group was lower than that of the non-CHD group,and the difference was statistically significant(P<0.05).The left ventricular end diastolic volume(LVEDV),myocardial composite index(Tei index),and left ventricular end systolic volume(LVESV)were higher than those of the non-CHD group,and the difference was statistically significant(P<0.05);The plaque score and carotid intima-media thickness in the CHD group were higher than those in the non-CHD group,and the differences were statistically significant(P<0.05).Conclusion UCG combined with CVUS examination has a higher diagnostic value for CHD and is more effective than a single examination.

ultrasound-cardiogramcarotid visa ultrasoundcoronary heart diseasediagnostic value

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开封市祥符区第一人民医院 超声科,河南 开封 475100

心脏超声 颈动脉超声 冠心病 诊断价值

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(6)
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