- 期刊
履帶運動心電圖vs馬氏二階梯心電圖對民航飛行員冠心病篩檢之比較
Treadmill Exercise Test vs Double Master Test Comparing the Screening of Coronary Artery Disease of Asymptomatic Civil Pilots
摘要
運動心電圖檢查爲診斷缺血性心臟病最有效的篩檢工具。航醫中心成立之初，針對民航駕駛員年度檢查，前十七年採馬氏二階梯檢查法（5112人次），近八年改用履帶式運動偵查法（6683人次）。廿五年的經驗數據顯示，履帶法遠優於馬氏法。以心肌梗塞之發生率而言。前者少了十倍以上。以冠狀動脈疾病篩檢之靈敏度而言，前者爲78%而後者僅38%。從冠心病千人年發生率而言，履帶法反低；反映出好的篩檢工具，可早期發現問題早期預防。本立以流行病學的統計數字充分的印證了「預防勝於治療」的理念！
並列摘要
Treadmill Exercise EKG is the most effective tool in diagnosing Ischemic heart disease. In the beginning of 1971 when Aviation Medical Center was established, the main focus was examining the civil pilots bi- annually. Before, in 17 years Double Master's Test was used (5112 times), in recent eight years was changed to Treadmill Exercise EKG annually (6683 times). With experience of 25 years, the data shows that Treadmill Exercise EKG is far better than Double Master's Test. As to Myocardial Infarction occurrence rate, the former is less by 10 times. As for screening of coronary arterial disease, the sensitivity of test, the former is 78% and later is 38%. From coronary artery disease for 1,000 pilot annual occurrence rate, Treadmill method is unexpectedly low, reflects a good screening tool, which can make early detection of the problem and early prevention ill happening. This essay gives the epidemiological data, greatly prove the concept of ”prevention is better than cure”.