首页|心脏彩超联合颈动脉超声在老年冠心病检查中的应用价值研究

心脏彩超联合颈动脉超声在老年冠心病检查中的应用价值研究

扫码查看
目的 探究心脏彩超联合颈动脉超声在老年冠心病检查中的应用价值。方法 选取2022年4月—2023年10月本院接收的104例疑似冠心病老年患者为研究对象,以冠状动脉造影检查为金标准,分为冠心病组(58例)、非冠心病组(46例),所有研究对象均进行心脏彩超与颈动脉超声两种方法检查,分析两组IMT、斑块积分和LVEF、LVEDD、LVESD、LA指标水平,观察IMT、斑块积分及各项心脏彩超指标以及两种检查方法的准确性。结果 和非冠心病受检者相比,冠心病患者的IMT、斑块积分和LVEDD、LVESD、LA指标均明显更高,LVEF则明显比非冠心病组低,组间差异有统计学意义(P<0。05);IMT、斑块积分及LVEDD、LVESD、LA指标依次升高,LVEF则依次降低,组间差异有统计学意义(P<0。05);对比心脏彩超、颈动脉超声和联合诊断阳性率,发现联合检查阳性率明显比单独检查高,组间差异有统计学意义(P<0。05);心脏彩超和颈动脉超声单独检查阳性率对比区别不显著(P>0。05)。结论 对冠心病的筛查应用心脏彩超与颈动脉超声联合检查能够更好评估患者的病情,提高诊断的准确性。
The Application Value of Cardiac Color Doppler Ultrasound Combined with Carotid Artery Ultrasound in the Examination of Elderly Coronary Heart Disease
Objective To explore the application value of cardiac color Doppler ultrasound combined with carotid artery ultrasound in the examination of elderly coronary heart disease.Methods 104 elderly patients with suspected coronary heart disease admitted to our hospital from April 2022 to October 2023 were selected as the study subjects.Coronary angiography was used as the gold standard and divided into a coronary heart disease group of 58 cases and a non coronary heart disease group of 46 cases.All study subjects underwent cardiac ultrasound and carotid ultrasound examinations.The IMT,plaque score,LVEF,LVEDD,LVESD,LA index levels of the two groups were analyzed,and the IMT of different disease branches were observed The accuracy of plaque score,various cardiac ultrasound indicators,and two examination methods.Results Compared with non coronary heart disease patients,patients with coronary heart disease had significantly higher IMT,plaque score,LVEDD,LVESD,LA indicators,and significantly lower LVEF compared to the non coronary heart disease group,with statistically significant differences between groups(P<0.05);The IMT,plaque score,LVEDD,LVESD,and LA indicators of different disease branches increased in sequence,while LVEF decreased in sequence,with statistically significant differences between groups(P<0.05);Comparing the positive rates of echocardiography,carotid artery ultrasound,and combined diagnosis,it was found that the positive rate of combined examination was significantly higher than that of individual examination,and the difference between groups was statistically significant(P<0.05);There was no significant difference(P>0.05)in the positive rates of individual examinations between cardiac color ultrasound and carotid artery ultrasound.Conclusion:The combination of cardiac color ultrasound and carotid artery ultrasound can better evaluate the patient's condition and improve the accuracy of diagnosis for screening coronary heart disease.

Cardiac ultrasoundCarotid artery ultrasoundElderly coronary heart diseaseInspection value

郑光雄

展开 >

高台县人民医院,甘肃 张掖 734300

心脏彩超 颈动脉超声 老年冠心病 检查价值

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(1)
  • 12