摘要
目的 探讨心电图联合超声心动图检查对高血压性心脏病的临床诊断效果.方法 选取2022年1月—2023年12月天津市宝坻区人民医院门诊接诊的92例疑似高血压性心脏病患者作为研究对象,对心电图和超声心动图两种检查手段单独或联合检查,诊断高血压性心脏病的准确性、特异性、敏感性、误诊率及漏诊率进行对比分析.结果 92例疑似高血压性心脏病病例中确诊79例.患者主要表现为左心室肥厚64例、左心室增大38例、心肌缺血33例、室间隔肥厚28例、左心房增大21例、主动脉扩张7例.心电图与超声心动图检查单独用于诊断高血压性心脏病的准确性、特异性、敏感性、误诊率及漏诊率比较,差异无统计学意义(P＞0.05).心电图联合超声心动图检查诊断高血压性心脏病的准确性、特异性、敏感性均高于两种检查方法单独检测,误诊率及漏诊率均低于两种检查方法单独检测,差异有统计学意义(P＜0.05).结论 心电图联合超声心动图检查诊断高血压性心脏病的效果优于两种检查方法单独检测,值得临床推广使用.
Abstract
Objective To explore the effect of electrocardiogram(ECG)combined with echocardiography(UCG)in the diagnosis of hypertensive heart disease.Methods A total of 92 patients with suspected hypertensive heart disease from January 2022 to December 2023 in Tianjin Baodi District People's Hospital were selected,and performed ECG and UCG,alone or in combination.The accuracy,specificity,sensitivity,misdiagnosis rate and missed diagnosis rate of ECG and UCG alone or in combination for hypertensive heart disease were compared.Results Among 92 cases of suspected hypertensive heart disease,79 cases were confirmed.The main manifestations of the patients were 64 cases of left ventricular hypertrophy,38 cases of left ventricular enlargement,33 cases of myocardial ischemia,28 cases of interventricular septal hypertrophy,21 cases of left atrial enlargement,and 7 cases of aortic dilation.There was no significant difference in the accuracy,specificity,sensitivity,misdiagnosis rate and missed diagnosis rate of ECG and UCG examination alone in the diagnosis of hypertensive heart disease(P>0.05).The accuracy,specificity and sensitivity of combined ECG and UCG for diagnosis of hypertensive heart disease were significantly higher than ECG or UCG alone(P<0.05),the rate of misdiagnosis and missed diagnosis was significantly lower than that of single detection(P<0.05).Conclusion Compared with ECG or UCG alone,the combined examination can significantly improve the diagnostic efficacy of hypertensive heart disease,and is worthy to be used for reference in clinical practice.
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