论文部分内容阅读
目的研究女性冠心病患者冠状动脉病变与临床表现、心电图改变的关系。方法选择1998年1月至2005年12月226例行冠状动脉造影的女性患者作为研究对象,同期男性患者631例为对照组,分析女性患者临床症状、心电图改变与冠状动脉造影结果的相互关系。结果226例女性患者中,冠状动脉造影结果诊断冠心病125例,其中典型胸痛63例,典型胸痛诊断女性冠心病敏感性50.4%,特异性71.3%,准确率68.5%,典型胸痛诊断男性冠心病敏感性62.2%,特异性63.4%,准确率80.3%;依据发作期心电图ST段改变,女性冠心病诊断准确率为80.4%,男性为85.2%;分析比较两组病例冠状动脉病变程度,发现女性与男性之间差异无统计学意义(P>0.05)。结论根据临床表现典型胸痛及发作期心电图ST段改变诊断冠心病,在女性同样具有较高准确性;女性冠状动脉病变程度与男性相似。
Objective To study the relationship between coronary artery lesions and clinical manifestations and ECG changes in female patients with coronary heart disease. Methods A total of 226 female patients undergoing coronary angiography between January 1998 and December 2005 were enrolled in this study. 631 male patients were enrolled in this study. The relationship between clinical symptoms, ECG changes and coronary angiography was analyzed. Results Among 226 female patients, coronary angiography was diagnosed by coronary angiography in 125 cases, of which 63 cases were typical chest pain, 50.4% were diagnosed as typical chest pain, 71.3% were specific and 68.5% were diagnosed. Typical chest pain was diagnostic of coronary heart disease Sensitivity 62.2%, specificity 63.4%, accuracy 80.3%; According to the electrocardiogram ST segment changes during the attack, the diagnostic accuracy rate of female coronary heart disease was 80.4%, male was 85.2%; analysis of two groups of patients with coronary artery lesions, found that women There was no significant difference between men and men (P> 0.05). Conclusion According to the clinical manifestations of typical chest pain and episodes of ECG ST segment changes in the diagnosis of coronary heart disease, the same in women with high accuracy; female coronary artery lesions similar to men.