急诊床旁超声联合POCT诊断AMI的价值

钱进; 黄松带; 林伟卓; 林镇瑞

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急诊床旁超声联合POCT诊断AMI的价值

临床研究 | 更新时间：2025-10-15

- 急诊床旁超声联合POCT诊断AMI的价值
- The clinical value of emergency bedside ultrasound combined with POCT in evaluating patients with acute myocardial infarction
- 临床心电学杂志 2021年30卷第1期页码：39-42
- 作者机构：
  
  广东省东莞市黄江医院
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R542.22
- 纸质出版：2021
- 稿件说明：
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[1]钱进,黄松带,林伟卓,林镇瑞.急诊床旁超声联合POCT诊断AMI的价值[J].临床心电学杂志,2021,30(01):39-42.

Qian jin, Huang songdai, Lin weizhuo, et al. The clinical value of emergency bedside ultrasound combined with POCT in evaluating patients with acute myocardial infarction[J]. 2021, 30(1): 39-42.
[1]钱进,黄松带,林伟卓,林镇瑞.急诊床旁超声联合POCT诊断AMI的价值[J].临床心电学杂志,2021,30(01):39-42. DOI：

Qian jin, Huang songdai, Lin weizhuo, et al. The clinical value of emergency bedside ultrasound combined with POCT in evaluating patients with acute myocardial infarction[J]. 2021, 30(1): 39-42. DOI：

摘要

目的急诊床旁超声联合即时检验（Point-Of-Care Testing

POCT）技术评估急性心肌梗死患者的临床价值。方法选取2019年1月至2020年10月东莞黄江医院收治的急性心肌梗死患者120例

随机分为3组

床旁超声心动图检查组（EB-Echo组）

急诊床旁超声联合POCT检查组（EB-Echo+POCT组）

和POCT组

每组40例。EB-Echo组和EB-Echo+POCT组病例行床旁超声心动图检查

采集EB-Echo+POCT组和POCT组患者的静脉血

用POCT检测仪检测心肌标志物CK-MB、c Tnl以及Myo的水平。比较各组的诊断符合率、检查反应时间、检查用时及诊断用时。结果 EB-Echo+POCT组检查阳性符合率、阴性符合率和总符合率均为100%

均高于EB-Echo组（总符合率93.5%）和POCT组（总符合率98.6%）

而POCT组阳性符合率、阴性符合率和总符合率（98.2%

100%

98.6%）均高于EB-Echo（90.1%

97.5%

93.5%）。EB-Echo组的检查反应时间为（12.1±3.8）min

检查用时为（7.8±2.2）min

诊断用时为（6.3±1.4）min;EB-Echo+POCT组的检查反应时间为（13.9±3.5）min

检查用时为（7.9±2.0）min

诊断用时为（4.8±1.2）min。POCT的检查反应时间为（15.0±3.1）min

检查用时为（10.4±2.4）min

诊断用时为（7.1±1.6）min。三组相互比较

检查反应时间、检查用时、诊断用时比较t值分别为1.657、1.809、1.735

p>0.05。结论急诊床旁超声联合POCT对急性心肌梗死患者的确诊率可以达到100%

灵敏度较单纯床旁超声和POCT技术好

值得在临床推广使用。

Abstract

Objective To evaluate the clinical value of emergency bedside ultrasound combined with Point-of-care testing in patients with acute myocardial infarction. Methods A total of 120 patients with acute myocardial infarction admitted to Dongguan Huangjiang Hospital from January 2019 to October 2020 were randomly divided into three groups. The 3 groups were bedside echocardiography group（EB-Echo group）

emergency bedside ultrasound combined with POCT Group（EB-Echo+POCT group）

and POCT group

there were 40 cases in each group. Patients in the EB-Echo group and EB-Echo+POCT group were examined by bedside echocardiography. The venous blood of the patients in the EB-Echo+POCT group and the POCT group was collected

and the level of myocardial markers CK-MB

c Tnl and Myo were detected by the POCT detector. Compare the diagnostic coincidence rate

inspection response time

inspection time and diagnosis time of each group. Results The positive coincidence rate

negative coincidence rate and total coincidence rate of the EB-Echo+POCT group were all 100%

which were higher than those of the EB-Echo group（total coincidence rate of 93.5%） and POCT group（total coincidence rate of98.6%）. The POCT group’s positive coincidence rate

negative coincidence rate and total coincidence rate（98.2%

100%

98.6%） were higher than EB-Echo（90.1%

97.5%

93.5%）. The examination reaction time of the EB-Echo group was（12.1±3.8） min

the examination time was（7.8±2.2） min

and the diagnosis time was（6.3±1.4） min; the examination reaction time of the EB-Echo+POCT group was（13.9± 3.5） min

inspection time was（7.9±2.0） min

diagnosis time was（4.8±1.2） min. The reaction time of POCT was（15.0±3.1） min

the time for inspection was（10.4±2.4） min

and the time for diagnosis was（7.1±1.6） min. Comparing the three groups with each other

there was no statistically significant difference in the examination reaction time

examination time

and diagnosis time（t values were 1.659

1.809

and 1.735

p>0.05）. Conclusions Emergency bedside ultrasound combined with POCT can reach a diagnosis rate of 100% in patients with acute myocardial infarction

and the sensitivity is better than pure bedside ultrasound and POCT technology. It is worthy of clinical promotion.

关键词

Keywords

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