摘要
目的探讨超声心动图、动态心电图和平板运动试验联合检测在冠心病诊断中的临床应用价值。方法选取70例疑似冠心病患者,分别进行平板运动试验、动态心电图、超声心动图及冠脉造影。通过ROC曲线分析各方法的诊断效能,并计算灵敏度、特异度及AUC值。结果三种方法的单独检测AUC值分别为0.796(平板运动试验)、0.737(动态心电图)和0.773(超声心动图),联合检测AUC为0.826。结论联合检测可显著提高冠心病的诊断准确性,灵敏度和特异度均高于单一检测,建议临床中广泛应用。
Objective To explore the clinical application value of combined detection of echocardiography,dynamic electrocardiogram,and plate exercise test in the diagnosis of coronary heart disease.Methods 70 suspected coronary heart disease patients were selected and subjected to plate exercise test,dynamic electrocardiogram,echocardiography,and coronary angiography.Analyze the diagnostic performance of each method through ROC curve,and calculate sensitivity,specificity,and AUC values.Results The individual detection AUC values of the three methods were 0.796(plate exercise test),0.737(dynamic electrocardiogram),and 0.773(echocardiogram),respectively,and the combined detection AUC was 0.826.Conclusion Combined detection can significantly improve the diagnostic accuracy of coronary heart disease,with higher sensitivity and specificity than single detection.It is recommended to widely apply it in clinical practice.
作者
高春玲
GAO Chun-Ling(Ultrasound Department of Zhangye People’s Hospital Affiliated to Hexi University,Zhangye 734000,China)
出处
《实验室检测》
2024年第10期150-152,共3页
Laboratory Testing
关键词
冠心病
超声心动图
动态心电图
平板运动试验
联合检测
coronary heart disease
echocardiography
dynamic ECG
flat exercise test
joint testing
