中国医学创新2024,Vol.21Issue(27) :127-130.DOI:10.3969/j.issn.1674-4985.2024.27.029

超声心动图及心电图对左室肥厚的诊断价值分析

Diagnostic Value of Echocardiography and Electrocardiogram in Left Ventricular Hypertrophy

余瑶璟 程云 翁春飞
中国医学创新2024,Vol.21Issue(27) :127-130.DOI:10.3969/j.issn.1674-4985.2024.27.029

超声心动图及心电图对左室肥厚的诊断价值分析

Diagnostic Value of Echocardiography and Electrocardiogram in Left Ventricular Hypertrophy

余瑶璟 1程云 2翁春飞3
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作者信息

  • 1. 景德镇市第二人民医院心电功能科 江西 景德镇 333000
  • 2. 景德镇市第二人民医院超声科 江西 景德镇 333000
  • 3. 景德镇市妇幼保健院心电图室 江西 景德镇 333000
  • 折叠

摘要

目的:探究超声心动图、心电图两种检查方式运用于左室肥厚中的诊断效果.方法:选取2023 年 3-11 月景德镇市第二人民医院收治的 97 例疑似左室肥厚患者为研究对象,以心脏造影诊断为"金标准",均采取超声心动图、心电图检查.对比超声心动图、心电图单独及联合检测的病理诊断结果、临床诊断价值.结果:金标准在 97 例疑似左室肥厚患者中共检测出 42 例阳性,55 例阴性;超声心动图检出阳性 31 例,阴性 66 例;心电图检出阳性 32 例,阴性 65 例;而超声心动图、心电图联合诊断检出阳性 41 例,阴性 56 例.联合诊断的敏感度、准确度、特异度、阳性预测值、阴性性预测值均高于超声心动图、心电图单一检测,差异均有统计学意义(P<0.05).结论:对于左室肥厚的患者临床采用超声心动图、心电图联合诊断效能显著高于单一检测,有利于达到临床疾病早发现、早诊断、早治疗,改善疾病预后的目的.

Abstract

Objective:To explore the diagnostic effect of echocardiography and electrocardiogram in left ventricular hypertrophy.Method:A total of 97 patients with suspected left ventricular hypertrophy treated in the Second People's Hospital of Jingdezhen from March to November 2023 were selected as the study objects.Cardiac angiography was the gold standard for diagnosis,and echocardiography and electrocardiogram were performed.The pathological diagnosis results and clinical diagnosis value of echocardiography,electrocardiogram alone and combined detection were compared.Result:A total of 42 positive cases and 55 negative cases were detected by"gold standard"in 97 suspected left ventricular hypertrophy patients.The results of echocardiography were positive in 31 cases and negative in 66 cases.Electrocardiogram was positive in 32 cases and negative in 65 cases.The combined diagnosis of echocardiography and electrocardiogram was positive in 41 cases and negative in 56 cases.The sensitivity,accuracy,specificity,positive predictive value and negative predictive value of combined diagnosis were higher than those of echocardiography and electrocardiogram alone,the differences were statistically significant(P<0.05).Conclusion:For patients with left ventricular hypertrophy,the diagnostic efficiency of combined echocardiography and electrocardiogram is significantly higher than that of single detection,which is conducive to early detection,diagnosis and treatment of clinical diseases and improvement of disease prognosis.

关键词

超声心动图/心电图/左室肥厚

Key words

Echocardiography/Electrocardiogram/Left ventricular hypertrophy

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出版年

2024
中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
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