心脏彩超检查在高血压左心室肥厚合并左心衰竭中的应用价值(1)
[摘要]目的 探討心脏彩超检查在高血压左心室肥厚合并左心衰竭中的应用情况。方法 选取2016年2月～2019年2月江西省新余市人民医院收治的60例高血压左心室肥厚合并左心衰竭患者作为观察组，根据心功能不同分级分组，其中Ⅱ级26例，Ⅲ级30例，Ⅳ级4例。另选取同期的50例健康体检者作为对照组。观察两组研究对象、不同心功能患者的左心房内径(LAD)、左心室后壁厚度(LVPWT)、左心室舒张末期内径(LVEDD)、左室射血分数(LVEF)、E值、A值及E/A。结果 观察组的LAD、LVPWT、LVEDD、A值均高于对照组，LVEF、E值、E/A均低于对照组，差异有统计学意义(P<0.05)。心功能Ⅱ级患者的LAD、LVPWT、LVEDD、A值均低于Ⅲ级、Ⅳ级患者，LVEF、E值、E/A均高于Ⅲ级、Ⅳ级患者，差异有统计学意义(P<0.05)。Ⅲ级患者的LAD、LVPWT、LVEDD、LVEF、E值、A值、E/A与Ⅳ级患者比较，差异均无统计学意义(P>0.05)。结论 心脏彩超检查可以有效评价高血压左心室肥厚合并左心衰竭患者的心功能状态，能够对心功能分级进行判定，为指导临床治疗提供理论依据。
[关键词]心脏彩超;高血压;左心室肥厚;左心衰竭;心功能
[中图分类号] R544.1 [文献标识码] A [文章编号] 1674-4721(2020)9(c)-0144-04
[Abstract] Objective To explore the applications of color Doppler echocardiography in left ventricular hypertrophy due to hypertension with left heart failure. Methods A total of 60 cases left ventricular hypertrophy due to hypertension with left heart failure patients in People Hospital of Xinyu City in Jiangxi Province from February 2016 to February 2019 were selected as the observation group， according to different grades of cardiac function， 26 cases were classified as grade Ⅱ， 30 cases as grade Ⅲ and 4 cases as grade Ⅳ. Another 50 healthy individuals in the same period were selected as the control group. The left atrial diameter (LAD)， left ventricular posterior wall thickness (LVPWT)， left ventricular end diastolic diameter (LVEDD)， left ventricular ejection fraction (LVEF)， E value， A value and E/A value of the two group of study object， different cardiac function patients were observed. Results The LAD， LVPWT， LVEDD， A value of the observation group were higher than those of the control group， the LVEF， E value， E/A value of the observation group were lower than those of the control group， the differences were statistical significance (P<0.05). The LAD、LVPWT、LVEDD、A value of cardiac function grade Ⅱ patients were lower than those of grade Ⅲ， grade Ⅳ patients， the LVEF， E， E/A value of cardiac function grade Ⅱ patients were higher than those of grade Ⅲ， grade Ⅳ patients， the differences were statistical significance (P<0.05). There was no significant difference in LAD， LVPWT， LVEDD， LVEF， E value， A value and E/A value between grade Ⅲ patients and grade Ⅳ patients (P>0.05). Conclusion The color doppler echocardiography detection could effective evaluate cardiac function of patients on left ventricular hypertrophy due to hypertension with left heart failure， which can determine cardiac function classification， and provide theoretical basis for guiding clinical treatment., 百拇医药(刘兴霞)
[关键词]心脏彩超;高血压;左心室肥厚;左心衰竭;心功能
[中图分类号] R544.1 [文献标识码] A [文章编号] 1674-4721(2020)9(c)-0144-04
[Abstract] Objective To explore the applications of color Doppler echocardiography in left ventricular hypertrophy due to hypertension with left heart failure. Methods A total of 60 cases left ventricular hypertrophy due to hypertension with left heart failure patients in People Hospital of Xinyu City in Jiangxi Province from February 2016 to February 2019 were selected as the observation group， according to different grades of cardiac function， 26 cases were classified as grade Ⅱ， 30 cases as grade Ⅲ and 4 cases as grade Ⅳ. Another 50 healthy individuals in the same period were selected as the control group. The left atrial diameter (LAD)， left ventricular posterior wall thickness (LVPWT)， left ventricular end diastolic diameter (LVEDD)， left ventricular ejection fraction (LVEF)， E value， A value and E/A value of the two group of study object， different cardiac function patients were observed. Results The LAD， LVPWT， LVEDD， A value of the observation group were higher than those of the control group， the LVEF， E value， E/A value of the observation group were lower than those of the control group， the differences were statistical significance (P<0.05). The LAD、LVPWT、LVEDD、A value of cardiac function grade Ⅱ patients were lower than those of grade Ⅲ， grade Ⅳ patients， the LVEF， E， E/A value of cardiac function grade Ⅱ patients were higher than those of grade Ⅲ， grade Ⅳ patients， the differences were statistical significance (P<0.05). There was no significant difference in LAD， LVPWT， LVEDD， LVEF， E value， A value and E/A value between grade Ⅲ patients and grade Ⅳ patients (P>0.05). Conclusion The color doppler echocardiography detection could effective evaluate cardiac function of patients on left ventricular hypertrophy due to hypertension with left heart failure， which can determine cardiac function classification， and provide theoretical basis for guiding clinical treatment., 百拇医药(刘兴霞)