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目的:对老年冠心病患者临床特点与发射单光子计算机断层扫描成像(ECT)心肌影像学资料进行分析探讨,为今后的临床诊断工作提供可靠的参考依据。方法:抽取2012年1月-2014年8月广东药学院附属第一医院临床确诊老年冠心病患者中的78例作为研究对象,存在慢性完全性左束传导阻滞或者是左前支传导阻滞征象的患者定义为观察组,无上述症状者为对照组,对这两组患者展开心电图、ECT心肌显像检查,并对检查结果进行对比分析。结果:观察组患者不稳定心绞痛发病率、心功能≥Ⅲ级的人数较对照组发生显著升高(P<0.05)。结论:老年冠心病患者经ECT心肌显像进行检查的临床意义显著,可为临床诊断、预后评估等提供可靠的参考依据,值得关注。
OBJECTIVE: To analyze and discuss the clinical features of elderly patients with coronary heart disease and the single photon computed tomography (ECT) myocardial imaging data to provide a reliable reference for future clinical diagnosis. Methods: From January 2012 to August 2014, 78 patients with clinically diagnosed elderly patients with coronary heart disease in the First Affiliated Hospital of Guangdong Polytechnic University were enrolled in this study. Patients with chronic complete left bundle branch block or left anterior branch block Of the patients were defined as the observation group, those without the above symptoms were the control group. The electrocardiogram and ECT myocardial imaging were performed on the two groups of patients and the results of the examination were compared. Results: The incidence of unstable angina in the observation group was significantly higher than that in the control group (P <0.05). Conclusion: The clinical significance of ECT myocardial imaging in senile patients with coronary heart disease is significant, which can provide reliable reference for clinical diagnosis and prognosis evaluation.