平板运动试验阳性与冠状动脉造影结果对照分析

目的探讨甲板运动试验（TET）阳性在冠心病（CAD）中的诊断价值。方法对平板运动试验阳性经冠状动脉造影（CAG）检查者148例患者的临床资料进行回顾性分析。将平板运动试验阳性患者分为有胸痛组38例和无胸痛组110例，男95例，女53例，与冠状动脉造影结果进行对照分析，对冠心病的诊断进行评估。结果冠状动脉造影阳性患者共85例（57．4％）。从有无胸痛分析，平板运动试验有典型胸痛者38例，冠状动脉造影阳性33例（86．8％）；平板运动试验无典型胸痛者110例，冠状动脉造影阳性52例（47．3％）；两组阳性率比较差异有统计学意义（P〈0．05）。从性别上分析，平板运动试验阳性男性患者95例，冠状动脉造影阳性66例（69．5％）；平板运动试验阳性女性患者53例，冠状动脉造影阳性19例（35．8％）；两组阳性率比较差异有统计学意义（P〈0．05）。结论平板运动试验阳性并且在运动过程中有典型胸痛者比无典型胸痛者冠状动脉造影阳性率高，平板运动试验阳性男性患者比女性患者冠状动脉造影阳性牢高，对冠心病的诊断具有重要参考价值，女性患者假阳性率高。因此，对平板运动试验阳性的女件患者冠心病诊断要慎重。

The comparative analysis of positive treadmill exercise test and coronary angiography

Objective To investigate diagnostic value of treadmill exercise test （TET） in the diagnosis of coronary heart disease（CAD）. Methods On the treadmill exercise test was positive by coronary angiography （CAG） examination in patients with 148 cases were analyzed retrospectively. In which the treadmill exercise test - positive patients were divided into a group of 38 patients with typical chest pain and non - typical chest pain group of 110 cases, 95 cases of male group and female group, 53 cases, comparative analysis with the results of coronary angiography, the diagnosis of coronary heart disease assessment. Results 85 cases of coronary angiography - positive, accounting for 57.4%. From the analysis of whether the chest pain, treadmill exercise test 38 patients with chest pain, 33 patients with positive coronary angiography （86.8%）. Treadmill exercise test without chest pain were 110 cases, 52 patients with positive coronary angiography （47.3%）. Positive rate of the two groups were significantly different （ P 〈 0.05 ）. From a gender analysis, treadmill exercise test was positive male patients with 95 eases, 66 patients with positive coronary angiography （69.5 % ） ;Treadmill exercise test was positive in 53 cases in female patients, 19 patients with positive coronary angiography （35.8%） ; the positive rate of the two groups were significantly different （ P 〈 0. 05 ）. Conclusion The positive rate pf coronary angiography is higher in the course of patients with positive TET and typical chest pain than those who without typical chest pain; male patients have a higher positive rate of coronary angiography than female patients. The diagnosis of coronary heart disease has important reference value, but for women with positive treadmill exercise test in patients with coronary artery disease should be cautious.