超声二维应变成像评价2型糖尿病患者左右心室局部收缩功能的研究.docVIP

· 2080 · · 全 科 医 生 技 能 发 展 · 超声二维应变成像评价2型糖尿病患者左右心室 局部收缩功能的研究 郭玲玲，孙志丹 【摘要】 目的 应用超声二维应变成像评价2型糖尿病患者左、右心室局部收缩功能。方法 选取2型糖尿病 患者30例 (T2DM 组)和健康者25例(正常对照组)。先对两组受检者进行常规二维超声心动图检查，然后在心尖四 腔切面测量两组受检者左心室侧壁及右心室游离壁基底段、中间段、心尖段心内膜下心肌纵向收缩期二维应变峰值。 结果 T2DM 组和正常对照组二维超声心动图参数比较，差异无统计学意义 (P0.05)。 两组受检者左心室心肌长轴 收缩期峰值应变从基底段至心尖段呈逐渐增大的趋势，而右心室心肌长轴收缩期峰值应变从基底段至心尖段呈逐渐减 低的趋势； T2DM 患者左、右心室心内膜下纵向应变收缩期峰值较正常对照组显著降低，各个节段间差异均有统计学 意义 (P0.05)。 结论 超声二维应变成像可以发现2型糖尿病患者在心脏整体收缩功能出现降低前左右心室局部心 肌收缩功能已降低。 【关键词】 超声心动描记术；二维应变；糖尿病，2型；心室功能 【中图分类号】 R587.1 【文献标识码】 A 【文章编号】 1007-9572(2012)06-2080-03 Evaluation of Left and Right Ventricular Regional Systolic Function in Patients with Type 2 Diabetes Mellitus by Two - Dimensional Strain Imaging GUO Ling-ling, SUN Zhi -dan. Department of Ultrasound, the First Hospital Affiliated to Lia- oning Medical College,Jinzhou 121001, China 【Abstract】 Objective Using two-dimensional strain imaging to assess the left and right ventricular regional systolic function in patients with type 2 diabetes mellitus. Methods 30 type 2 diabetes mellitus(T2DM group)and 25 healthy subjects (control group) were chosen. First, the normal two -dimensional echocardiography were performed on the two groups. And then, two dimensional strain were performed in measuring the peak systolic longitudinal strain of the subendocardial myocardium in the apical 4 -chamber views by the left ventricular lateral wall and right ventricular free wall in mitral, basal, mid, apical seg- ments. Results There was no statistical difference between the two groups in using the normal two - dimensional echocardiography (P0.05).In the two groups, the peak systolic longitudinal strain had the tendeney of increasing from the base to apical seg- ments, wheras the tendency of decreasing from the apical to base segments; The peak systolic longitudinal strain of the subendo- cardial myocardium of different segments in patients with type 2 diabetes mellitus was significantly reduced when compared with the control gr