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心阻抗图对潘生丁试验的评价
引用本文:郑增效,王世臣.心阻抗图对潘生丁试验的评价[J].西安交通大学学报(医学版),1993(1).
作者姓名:郑增效  王世臣
作者单位:陕西省纺织医院心功能科,西安医科大学第二附属医院内科 西安 710038
摘    要:本文采用心阻抗图观察92例患者潘生丁试验(DP—T)。结果表明:①冠心病组94%患者的B—X缩短(P<0.01)。Q—B/B—X增大(P<0.01),A波、O波振幅亦增大(P<0.05),A/C、0/C均增大(P<0.01)。②可疑冠心病组69%患者有上述指标变化。③正常对照组3%有上述指标改变。这可能是DP引起冠状动脉窃血所致。并指出采用上述指标观察DP—T诊断冠心病,其敏感性优于心电图及症状学诊断。

关 键 词:心阻抗图  潘生丁  冠心病

THE ASSESSMENT OF DIPYRIDAMOLE TEST BY IMPEDANCE CARDIOGRAM
Zheng Zengxiao,Wang Shichen.THE ASSESSMENT OF DIPYRIDAMOLE TEST BY IMPEDANCE CARDIOGRAM[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1993(1).
Authors:Zheng Zengxiao  Wang Shichen
Institution:Zheng Zengxiao,Wang Shichen Department of Cardiac Function,Shaanxi Textile Hospital
Abstract:92 patients undergoing dipyridamole test (DP-T) was observed by impedance cardiogram. Theresults revealed that; the shortening of B-X (P<0. 01), the rising of the ratio of Q-B/B-X (P<0. 01), the gaining of amplitude of A and Owaves (P<0. 05). and the rising of the ratio ofboth A/O and O/C(P<0. 01) were found in 94per cent of the patients in CHD group; all thechanges in indexes listed above were found in 69per cent of patients in the group of suspectedCHD; and in 3 per cent of the persons in controlgroup. These changes may result from coronarysteal due to DP, suggesting that the sensitivity ofthe above observation on DP-T is superior toelectrocardiography ot symptomatology in diagno-sis of CHD.
Keywords:impedance cardiogram  dipyridamole  coronary heart disease (CHD)
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