冠状动脉造影与活动平板运动试验诊断冠心病的对比分析

目的：探讨次极量平板运动试验检查对冠心病早期诊断的价值。方法：对87例拟诊冠心病患者进行冠状动脉造影及按Bruce方案进行次极量平板运动试验。根据冠状动脉造影结果将患者分成冠心病组和对照组，并对运动试验结果进行对比分析。结果：87例患者中85例完成了冠状动脉造影及次极量平板运动试验检查，确诊冠心病者（冠心病组）46例，非冠心病者（对照组）39例。冠心病组运动试验阳性35例（76．1％），阴性11例（24．9％）。对照级运动实验阳性12例（30．7％），其中女性10例，运动试验阴性27例（69．3％）。冠心病组的平均年龄及存在冠心病危险因素的比例均高于对照组（P＜0．05）。结论：活动平板运动试验简便易行，是一种较理想的无创性诊断冠心病的检查方法。但女性运动试验阳性诊断冠心病的临床意义较小，而阴性则有利于否定冠心病的诊断。

Diagnose the contrast analysis of the cornary heart disase in coronary arteriography and treasmill exercise test

Objective:Discusses the secondary quantity treadmill exercise test to inspect to the coronary heart disease early time diagnosis value. Methods:Plans to 87 patients to examine the coronary heart disease to carry on the coronary artery radiography and to send the plan according to Bruce to carry on the secondary quantity treadmill exercise test. According to the results of the coronary arteriography divided the patients into the coronary heart disease group and the control group, and carries on the analysis to the exercise test result. Results:In the 87 patients, 85 cases have completed the coronary arteriography and the secondary quantity treadmill exercise test inspect. Diagnoses coronary heart disease (coronary heart disease group) 46 cases, Non-coronary heart disease(control group) 39 cases. The positive of exercise test in coronary heart disease group were 35 cases (76.1%), negative 11 cases (24.9%). Control group exercise test positive 12 cases (30.7%) feminine 10 cases, exercise test negative 27 cases(69.3%). The coronary heart disease group's average age and the existence coronary heart disease dangerous factor proportion all is higher than the control group (p<0.05). Conclusion:The treadmill exercise test simple easy is one more ideal inspection method not creating diagnosis coronary heart disease. But the feminine positive exercise test diagnosis coronary heart disease clinical significance is smaller, but negative is advantageons to the denial coronary heart disease diagnosis.