超声心动图对糖尿病患者左室结构与功能改变的价值探讨.docVIP

精品论文 参考文献 超声心动图对糖尿病患者左室结构与功能改变的价值探讨 （四川省自贡市第五人民医院 四川 自贡 643020） 【中图分类号】R587.2 【文献标识码】A 【摘要】目的：探讨超声心动图诊断糖尿病患者左室结构与功能改变的价值。方法：以我院70例糖尿病患者和70例正常人为研究对象，分别设为观察组和对照组，超声心动图测定两组心脏左室结构指标和功能指标。结果：观察组左心室舒张末期内径( LVDd)（59.45plusmn;4.26）、左室后壁厚度(LVPWT)（12.34plusmn;1.24）、室间隔厚度(IVST)（11.98plusmn;2.34）、收缩末期左室内径(LVDs)（39.84plusmn;4.53）、、舒张早期充盈峰(E)、E/A 比值均明显高于对照组（Plt;0.05）；射血分数(EF)、左室短轴缩短率(FS）及舒张晚期充盈峰(A)均明显低于对照组（Plt;0.05）。结论：糖尿病患者存在心肌损害状态，超声心动图有利于早期发现糖尿病患者左室结构与功能改变，为临床治疗提供参考依据。 【关键词】超声心动图；糖尿病患者；左室结构；左室功能 Echocardiographic left ventricular structure and function in patients with diabetes mellitus change the value of the discussion Tang Yuan-dong Ye Xia Li Zhong-chao (Zigong city, sichuan province fifth peoples hospital Sichuan zigong 643020 ) 【abstract】 objective: to study the echocardiography in the diagnosis of diabetic patients with left ventricular structure and function of the value of the change. Methods: in 70 cases of patients with diabetes and 70 patients with normal study, set as observation group and control group respectively, echocardiography determination of two groups of cardiac index indicators of left ventricular structure and function. Results: the observation group of left ventricular end-diastolic diameter (LVDd), (59.45-4.26), left ventricular posterior wall thickness (LVPWT), (12.34-1.24), interventricular septum thickness (IVST), (11.98-2.34), end systolic left interior diameter (an LVDs), (39.84-4.53), (E), early diastolic filling peak, E/A ratio were significantly higher than that of control group (P lt; 0.05); Ejection fraction (EF), left ventricular short axis (FS) and shortening rate peak late diastolic filling (A) were significantly lower than control group (P lt; 0.05). Conclusion: diabetic myocardial damage state, supersonic and enchanted the graph is helpful for the early detection of diabetes patients with left ventricular structure and function change, provide a reference basis for clinical treatment. 【key words】echocardiography; People wi