超声心动图评价左室舒张功能的研究.docVIP

精品论文 参考文献 超声心动图评价左室舒张功能的研究 （重庆市中医院超声科 重庆 400012） 　　【摘要】目的：探讨超声心动图评价左室舒张功能的价值。方法：回顾性分析152例冠心病患者,166例高血压病患者及150例正常人超声心动图检查的临床资料，比较三者心脏形态及左室舒张容积变化系列参数。结果：高血压组、冠心病组的心脏形态异常率分别为59.04%、56.58%，两者比较无明显差异（P＞0.05），但均明显高于对照组4.67%（Plt;0.05）。高血压组与冠心病组的左室舒张容积变化系列参数比较两者无明显差异（P＞0.05），两者的LAd、LVDd、IVSTd、LVPWTd、IVRT、A 峰流速明显高于对照组（Plt;0.05），E峰流速、E/A比值明显低于对照组（Plt;0.05），LVEF与对照组比较无明显差异（P＞0.05）。结论：超声心动图对左室舒张功能变化较敏感，具有临床诊断价值。 　　【关键词】超声心动图；左室舒张功能；评价 　　【中图分类号】R540 【文献标识码】A 【文章编号】1007-8231（2016）25-0013-02 　　Study on the evaluation of left ventricular diastolic function by echocardiography 　　Mou Shuang,Yang Qianmei. Ultrasonography Department, Chongqing Traditional Chinese Medicine Hospital 400012 　　【Abstract】Objective To discuss the value of echocardiography in evaluation of left ventricular diastolic function. Methods The clinical data of 166 patients with coronary heart disease, 152 patients with hypertension and 150 normal subjects were analyzed retrospectively. Cardiac shape and left ventricular diastolic volume were compared. Results The rate of abnormal heart rate in hypertension group and coronary heart disease group were 59.04% and 56.58%,there was no significant difference (Pgt;0.05), but it was significantly higher than that control group(4.67%) (Plt;0.05). There were no significant differences in the left ventricular diastolic volume between hypertension group and coronary heart disease group(Pgt;0.05). Compared with control group, LAd, LVDd, IVSTd, LVPWTd, IVRT, A peak flow rate was higher(Plt;0.05), E peak flow rate and E/A ratio were lower(Plt;0.05), no significant difference in LVEF(Pgt;0.05). Conclusion Echocardiography is sensitive to the change of left ventricular diastolic function, with the value of clinical diagnosis. 　　【Key words】Echocardiography; Left ventricular diastolic function; Evaluation 　　每年因为心力衰竭住院的患者中，舒张性心力衰竭约占50%，而这些患者的射血分数正常或相对正常，评估左室舒张功能对选择合理的治疗和改善疾病的预后至关重要[1]。超声心动图是临床无创评价左室舒张功能最为重要的检测手段。本文通过回顾性分析2014年1月-2016年1月152例冠心病