慢性肺心病病人右室组织多普勒Tei指数的研究-影像医学与核医学专业毕业论文.docxVIP

山西医科大学硕_J学位论文1．2英文摘要 山西医科大学硕_J学位论文 1．2英文摘要 ABSTRACT Study Of Right Ventricular TDI—Tei Index In Patients With Cor Pulmonale objective：To investigate the value of Tei index derived from tissue Doppler image in evaluation ofright ventricular function with chronic cor pulmoale． Methods：39 patients were divided into two groups according to the pulmonary artery systolic pressure，which derived from the tricuspid regurgiration maximum pressure gradient and left atrium size(group I，20，SPAP50mmHg，mean 41．44+6．54；group II，19，SPAP 一50mmHg，mean 61．98土10．06)．Some traditional ultrasonic fight ventricular parameters(MPA、 RPA、RA、RV、RVWT)and heart rate were involved in this study．In addition，The tricuspid all— nular motion was obtain by PW-TDI and Tei index Was calculated．MPI=(ICT+IRT)／ET=(a-b)／b Rusults：The diameter ofMPA and RPA were increased in group I and group II①0．01)； There were no statistically significant difference between group I and contract in the size of ventricular(pO．05)，but the results were smaller than that in group II(Po．01)；Compared with control group，Right ventricular TDI—Tei index of cor pulmonale Was increased significantly compared with control(p0．05。0．014)，and TDI—Tei index in group 11 was higher than that in group I QO．01)．Moreover,TDI·Tel index in patient with COt pulmonale was independent on age and heart rate．There was a positive linear correlation between right ventricular TDI—Tei index and pulmonary artery systolic pressure(r=o．77，p0．01) Conclusions：Tei index measured by tissue Doppler acquired from tricuspid armulus is an easy and useful quantitative parameter with high sensitivity and reproducibility for assessing right ventricular function in patients with chronic cor pulmonale． Key word：Cor pulmonale，Tissue Doppler imaging，Tei-index，Ventricular Function，Right 2 第二章前言慢性肺心病80-90％是由慢性阻塞性肺部疾病(COPD)发展而来的。就世界水平，COPD 第二章前言 慢性肺心病80-90％是由慢性阻塞性肺部疾病(COPD)发展而来的。就世界水平，COPD 居当前疾病死因的第四位，据世界银行／wTO发表的研究结果显示，至2120年COPD将跃 居至世界疾病经济负担的第五位。2005年在我国广州举办的亚太呼吸年会上，广州呼吸病 研