摘要
目的探讨耳折对冠心病的预测价值。方法选取因疑诊为冠心病而行冠状动脉造影的女性住院患者207例,其中确诊为冠心病者139例作为冠心病组,冠脉影像正常者68例作为非冠心病组。采用目测法判断两组对象耳折程度,分析耳折与冠状动脉造影对女性冠心病诊断的一致性。结果耳折与冠脉造影在诊断冠心病时有正向一致性(Kappa值0.58,标准误0.06,t=7.93,P=0.00)。耳折判断女性冠心病的敏感性为76.98%,特异性为85.29%,误判率为14.71%,漏诊率为23.02%,阳性预测值91.45%,阴性预测值64.44%,阳性似然比5.23,阴性似然比0.27。结论耳折与冠脉造影在诊断冠心病时有较好的正向一致性,耳折对冠心病有一定的预测价值。
Objective The consistency test of ear lobe crease and coronary angiography for diagnosis of women with coronary heart disease.To understand the predictive capability of the ear lobe crease for coronary heart disease. Methods 207 subjects underwent coronary angiography for chest pain were recruited,139 of them were positive（CHD group）,and 68 were negative（control group）.Ear lobe crease′s degree was determined by the eye measure method. Results Kappa test showed a positive consistency test in the ear lobe crease and coronary angiography for diagnosis of coronary heart disease（Kappa value 0.58,standard error 0.06,t=7.93,P=0.00）.The ear lobe crease for women with coronary heart disease had a sensitivity of 76.98%;specificity of 85.29%;mistake diagnostic rate of 14.71%;omission diagnostic rate of 23.02%;positive predict value 91.45%;negative predict value of 64.44%;positive likelihood ratio 5.23;negative likelihood ratio 0.27.Conclusion Ear lobe crease and coronary angiography had a positive consistency in the diagnosis of coronary heart disease,Ear lobe crease may have predictive value for coronary heart disease.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第7期732-733,共2页
Chinese General Practice
基金
包头市医药卫生科技项目(2009S1001-37)
关键词
耳折
冠心病
冠状动脉造影
诊断技术和方法
Ear lobe crease
Coronary disease
Coronary angiography
Piagnostic techniques and procedures
