99例慢性心力衰竭患者心脏彩超影像表现的研究.docVIP

99例慢性心力衰竭患者心脏彩超影像表现的研究 　　[摘要] 目的 探讨彩色多普勒超声诊断仪在诊断多病因的慢性心力衰竭病症时的临床作用与意义。 方法 整群选取该院2013年3月―2014年8月收治的99例诊断为多病因慢性心力衰竭患者，用心脏彩超设备进行检查，记录左室射血的分数（LVEF）和左心室舒张末期的内径（LVDd）以及左心房的内径（LVD），并依据EF值随机分为正常组和降低组，对比分析该两组患者治疗前后的LVEF值变化情况。结果 正常组全部患者在治疗前所测左心室射血分数为（62.24±13.26）%，降低组的左心室射血分数为（33.51±12.79）%，两组患者在治疗前差异有统计学意义（P0.05）；降低组全部患者在经过治疗以后所测量左心室射血分数是（55.21±7.48）% ，与治疗前相比较，差异有统计学意义（P0.05）。 结论 用彩色多普勒超声诊断仪所检查左室射血的分数对于多病因的心力衰竭病症诊断不具备特异性，不能单一的作为确诊病症标准，但是可以作为一项此病临床治疗过程中重要可信的监测指标。 　　[关键词] 心脏彩超；多病因；慢性心力衰竭 　　[中图分类号] R541.6 [文献标识码] A [文章编号] 1674-0742（2015）08（c）-0168-02 　　A Study about the Echocardiography of 99 Patients with Chronic Heart Failure 　　LIU Shu-hua 　　Department of function inspection， the People’s Hospital of Huadian City， Huadian， Jilin Province， 132400 China 　　[Abstract] Objective To investigate the clinical effect and significance of ultrasound diagnostic equipment in the diagnosis of chronic heart failure with multiple etiology. Methods Selected 99 patients diagnosed as chronic heart failure with multiple etiology in our hospital from 2013 March to 2014 August. Inspected them with heart ultrasound equipment， and record left ventricular ejection fraction records （LVEF） and left ventricular end diastolic diameter （LVDd） and diameter of left atrium （LVD）. According to the EF value， these patients were randomly divided into the normal group and the lower group. Compared the changes of LVEF value of the patients in two groups before and after treatment. Results The LVEF of patients in normal group were （62.24 ± 13.26）% before treatment， while that of lower group was （33.51 ± 12.79）%， and there were differences between the two groups before treatment （P0.05）， with statistical significance. The LVEF of patients in lower group after treatment was （55.21 ± 7.48）%， compared with that before treatment， the differences were statistically significant （P0.05）. Conclusion Using color Doppler ultrasound diagnostic equipment to inspect LVEF has no specificity for the diagnosis of heart fai