冠心病患者应用心脏彩超对左室舒张功能的价值.docVIP

精品论文 参考文献 冠心病患者应用心脏彩超对左室舒张功能的价值 张海峰 刘 琼 刘 云通讯作者 　　绵阳市中心医院心血管特检科 四川绵阳 621000 　　【摘 要】通过对比分析，探讨冠心病患者应用心脏彩超进行左室舒张功能测定的临床价值及意义。方法：将我院2014年6月-11月收治的72例冠心病患者设为观察组，另外选取72例正常人设为对照组，对这两组人员进行多普勒心脏彩超检查，以获得两组人员的舒张期血流频谱数据，并对两组人员的舒张晚期流速A峰和舒张早期E峰分别进行测量，计算两组人员的E/A值。结果：观察组的72例患者中有62例患者E/Alt;1,检出率为86.1%，而对照组的72名正常人员E/A值明显高于观察组，两组数据对比具有统计学意义（Plt;0.05）。结论：作为多普勒超声的主要检测指标，E/A值不仅可以对患者的左室舒张功能进行评价，更能有效诊断出患者的早期冠心病症状，因为冠心病在患病早期即有左室舒张功能的变化，应用心脏彩超对冠心病患者进行检查，具有很强的临床应用价值。 　　【关键词】冠心病；心脏彩超；左室舒张；功能价值 　　【中图分类号】R452 【文献标识码】A 【文章编号】1764-8999（2015）7-0593-01 　　【Abstract】Through comparative analysis, use of echocardiography in patients with coronary heart disease clinical value and significance of the determination of left ventricular diastolic function. Methods: The hospital in June 2014 - November 72 CHD patients admitted to the observation group, in addition to select 72 cases of normal control group, the two groups of staff Doppler echocardiography, in order to obtain diastolic blood spectral data of the two groups, A and peak late diastolic velocity and peak early diastolic E both groups were measured to calculate the two groups of E / A values. Results: 72 patients in the observation group, 62 patients E / A lt;1, the detection rate was 86.1%, while the 72 normal persons E / A value of the control group was significantly higher than in the observation group, the two groups have statistical data comparison significance (P lt;0.05). Conclusion: as the main indicators of Doppler ultrasound to detect, E / A value not only in patients with left ventricular diastolic function was evaluated, more effective diagnosis of early symptoms of coronary heart disease, coronary artery disease because early in the illness that is left Room diastolic function, use of echocardiography in patients with coronary heart disease were examined with a strong clinical value. 　　【Keywords】 coronary heart disease echocardiography left ventricular diastolic function value 　　作为因冠状动脉器质性阻塞或狭窄引起的心肌坏死或心肌缺氧的心脏病的一种，冠心病的主要成因