摘要
目的探讨多层螺旋CT在急诊胸痛中的诊断效果。方法 120例急诊胸痛患者,随机分为对照组和实验组,每组60例。对照组患者给予常规冠状动脉造影检查,实验组患者给予多层螺旋CT扫描。比较两组患者的检查结果、心率水平及满意度。结果两组患者的急性主动脉夹层、冠状动脉狭窄和肺栓塞检出率比较差异无统计学意义(P>0.05)。检查后,实验组患者的心率(67.63±1.42)次/min低于对照组的(72.28±1.67)次/min,差异具有统计学意义(P<0.05)。实验组患者的满意度为100.0%,对照组患者的满意度为90.0%,实验组患者的满意度高于对照组,差异具有统计学意义(P<0.05)。结论常规冠状动脉造影和多层螺旋CT扫描检查对急诊胸痛患者的检出情况相似,但多层螺旋CT扫描诊断不影响患者心率,且患者满意度高。
Objective To discuss the diagnostic effect of multi-slice spiral CT in emergency patients with chest pain. Methods A total of 120 emergency patients with chest pain were randomly divided into control group and experimental group, with 60 cases in each group. Patients in the control group were given routine coronary angiography, and patients in the experimental group were given multi-slice spiral CT scan. The examination results, heart rate and degree of satisfaction between the two groups were compared. Results There was no statistically significant difference in detection rate of acute aortic dissection, coronary stenosis and pulmonary embolism between the two groups(P>0.05). After examination, the heart rate(67.63±1.42) times/min in the experimental was lower than(72.28±1.67) times/min in the control group, and the difference was statistically significant(P<0.05). The degree of satisfaction was 100.0% in the experimental group, which was 90.0% in the control group. The degree of satisfaction in the experimental group was higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Routine coronary angiography and multi-slice spiral CT scan are similar in the detection of chest pain in emergency patients, but multi-slice spiral CT scan does not affect the heart rate of patients with high degree of satisfaction.
作者
郭晓睿
GUO Xiao-rui(Department of Radiology,Heze Municipal Hospital,Heze 274031,China)
出处
《中国实用医药》
2020年第4期8-10,共3页
China Practical Medicine
关键词
多层螺旋CT
急诊
胸痛
诊断
Multi-slice spiral CT
Emergency
Chest pain
Diagnosis
