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目的探讨患者冠状动脉发生病变后应用常规心电图并配合冠状动脉造影诊断的临床价值并进行评价。方法回顾性分析2007年至2011年4年间患有冠状动脉病变的患者167例,对其进行冠脉动脉造影和患者静息心电图的诊断进行比较与分析。结果静息心电图表现与冠状动脉病变相一致的患者达108例(64.67%),静息心电图表现与冠状动脉病变不相一致的患者达59例(35.33%),一组58例冠状动脉病变患者阳性率为74.5%,二组51例冠状动脉病变患者阳性率为59.2%,三组58例冠状动脉病变患者阳性率为39%。结论临床治疗过程中医护人员不应仅仅使用静息心电图来为患者诊断是否患有冠心病,而应结合患者的临床表现以及患者冠状动脉造影指标来具体判断。
Objective To investigate the clinical value of conventional electrocardiogram (ECG) combined with coronary angiography in the diagnosis of coronary artery disease in patients. Methods A retrospective analysis of 167 patients with coronary artery disease during the four years from 2007 to 2011 was performed. The coronary angiography and resting electrocardiogram were compared and analyzed. Results Resting electrocardiogram showed that 108 patients (64.67%) were consistent with coronary artery disease, 59 patients (35.33%) had resting electrocardiogram which did not accord with coronary artery disease, 58 patients with coronary artery disease The positive rate was 74.5%. The positive rate of coronary artery disease in 51 cases of two groups was 59.2%. The positive rate of coronary artery disease in 58 cases of three groups was 39%. Conclusion During the clinical treatment, medical staff should not only use the resting electrocardiogram to diagnose patients with coronary heart disease, but should be combined with the clinical manifestations of patients and patients with coronary angiography to determine specific indicators.