超声技术对慢性心力衰竭患者心脏舒张功能的评价
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摘要
目的探讨分析超声技术对慢性心力衰竭患者心脏舒张功能的评价。方法选取该院2014年11月—2015年11月收治的45例慢性心力衰竭患者。在患者接受手术之前3 d,以及手术治疗后5个月进行超声检查,主要的检查内容包括左心室舒张末容积,左心室舒张末内径,左心室射血分数,二尖瓣口舒张早晚期血流速度比值,多普勒成像测量参数等。结果在对所有慢性心力衰竭患者在手术治疗后进行随访,有1例患者猝死。在给予患者超声检查之后,结果显示,左心室舒张末内径为(5.1±0.4)cm,左心室舒张末容积为(148±48)mL,左心室舒张末容量指数为(98±34)mL,左心室射血分数为(27±8)%;在手术治疗之后,给予患者超声检查,基底段侧壁为(4.9±1.5),后间隔为(4.5±1.4),前壁为(4.9±1.3),下壁为(4.7±1.2),后壁为(3.6±1.3);中段侧壁为(3.6±1.3),后间隔为(4.5±1.4),前壁为(3.7±1.2),下壁为(3.4±1.3),后壁为(3.6±1.3)。结论给予慢性心力衰竭患者超声诊断技术能够有效判断心脏舒张功能,临床效果显著。
Objective To investigate the evaluation of ultrasound technique in evaluating the diastolic function of patients with chronic heart failure. Methods Forty-five patients with chronic heart failure admitted to our hospital from November 2014 to November 2015 were selected. Ultrasound was performed three days before the patient's surgery and five months after surgery. The main examinations included left ventricular end-diastolic volume, left ventricular end-diastolic diameter, left ventricular ejection fraction, and mitral valve diastolic blood flow velocity ratio, Doppler imaging measurement parameters, etc. Results All patients with chronic heart failure were followed up after surgery and one patient died of sudden death. After the patient was given an ultrasound examination, the left ventricular end-diastolic diameter was(5.1 ± 0.4) cm, the left ventricular end-diastolic volume was(148±48) mL, and the left ventricular end-diastolic volume index was(98 ± 34)mL. The left ventricular ejection fraction was(27±8)%; after surgery, the patient was given an ultrasound examination, with the basal segment side wall(4.9±1.5), the posterior interval(4.5±1.4), and the anterior wall(4.9± 1.3), the lower wall was(4.7±1.2), the rear wall was(3.6±1.3); the middle wall was(3.6 ±1.3), the rear interval was(4.5 ±1.4), and the front wall is(3.7±1.2), the lower wall was(3.4±1.3) and the back wall was(3.6±1.3). Conclusion Ultrasound diagnosis technology for patients with chronic heart failure can effectively judge the diastolic function of the heart, and the clinical effect is remarkable.
Objective To investigate the evaluation of ultrasound technique in evaluating the diastolic function of patients with chronic heart failure. Methods Forty-five patients with chronic heart failure admitted to our hospital from November 2014 to November 2015 were selected. Ultrasound was performed three days before the patient's surgery and five months after surgery. The main examinations included left ventricular end-diastolic volume, left ventricular end-diastolic diameter, left ventricular ejection fraction, and mitral valve diastolic blood flow velocity ratio, Doppler imaging measurement parameters, etc. Results All patients with chronic heart failure were followed up after surgery and one patient died of sudden death. After the patient was given an ultrasound examination, the left ventricular end-diastolic diameter was(5.1 ± 0.4) cm, the left ventricular end-diastolic volume was(148±48) mL, and the left ventricular end-diastolic volume index was(98 ± 34)mL. The left ventricular ejection fraction was(27±8)%; after surgery, the patient was given an ultrasound examination, with the basal segment side wall(4.9±1.5), the posterior interval(4.5±1.4), and the anterior wall(4.9± 1.3), the lower wall was(4.7±1.2), the rear wall was(3.6±1.3); the middle wall was(3.6 ±1.3), the rear interval was(4.5 ±1.4), and the front wall is(3.7±1.2), the lower wall was(3.4±1.3) and the back wall was(3.6±1.3). Conclusion Ultrasound diagnosis technology for patients with chronic heart failure can effectively judge the diastolic function of the heart, and the clinical effect is remarkable.
引文
[1]刘建修.超声斑点追踪在慢性心力衰竭患者中对心肌功能评估的临床研究[J].岭南心血管病杂志,2015,21(6):828-831,873.
[2]李岩松,陈晓梅,赵媛媛,等.超声新技术在慢性心力衰竭心脏同步性检测中的临床研究[J].中国医药指南,2016,14(20):4-5.
[3]穆利清,李天亮,陈庆常,等.超声二维斑点追踪成像技术评估慢性心力衰竭患者左心室内心肌收缩不同步性[J].中华临床医师杂志:电子版,2016,10(14):2044-2048.
[4]梁志超,郑宇秀.超声斑点追踪在慢性心力衰竭中对心肌功能评估的临床研究[J].现代诊断与治疗,2016,27(14):2672-2673.
[5]朱文军,徐明民,全丽娟,等三维斑点追踪成像技术评价慢性心力衰竭患者左心室收缩功能及收缩不同步性的价值[J].浙江医学,2016,38(17):1415-1418.
[6]刘海杰.三种超声技术在慢性心力衰竭心脏同步检测中的应用价值[J].中国药物经济学,2015,10(2):182-183.
[7]马成彬,章加宝,李东野.二维超声斑点追踪评价生脉注射液对冠心病心力衰竭患者左室收缩功能的影响[J].江苏医药,2013,39(18):2153-2155.
[8]刘凤岐,曲仁海,孙桂芳,等.心区交感神经阻滞对慢性心力衰竭患者左心室重构及心功能的影响[J].中国超声医学杂志,2015,31(7):596-598.
[9]梁德贤,李庆军,陈康荣.Tei指数与二维斑点追踪成像对慢性心力衰竭患者左心功能评价效果比较[J].黑龙江医学,2015,39(8):895-897.
[10]姜红娟,徐烨华,熊爱琴,等.速度向量成像技术对慢性心力衰竭患者心功能的评估价值[J].临床心血管病杂志,2017,33(4):343-347.
[11]陈金玲,姜凤霞,宋宏宁,等.超声评价慢性充血性心力衰竭患者心脏再同步化治疗术后舒张功能及其与同步性的关系[J].临床超声医学杂志,2013,15(3):153-156.
[12]关正宇,马春燕,王永槐,等.超声心动图预测慢性充血性心力衰竭患者心脏再同步化治疗急性反应[J].中国医学影像技术,2015,31(5):737-741.
[13]徐刚,战介芝,王瑞清.心衰超声指数评价慢性心力衰竭患者心脏功能的临床意义[J].中国临床研究,2014,27(7):801-802.
[2]李岩松,陈晓梅,赵媛媛,等.超声新技术在慢性心力衰竭心脏同步性检测中的临床研究[J].中国医药指南,2016,14(20):4-5.
[3]穆利清,李天亮,陈庆常,等.超声二维斑点追踪成像技术评估慢性心力衰竭患者左心室内心肌收缩不同步性[J].中华临床医师杂志:电子版,2016,10(14):2044-2048.
[4]梁志超,郑宇秀.超声斑点追踪在慢性心力衰竭中对心肌功能评估的临床研究[J].现代诊断与治疗,2016,27(14):2672-2673.
[5]朱文军,徐明民,全丽娟,等三维斑点追踪成像技术评价慢性心力衰竭患者左心室收缩功能及收缩不同步性的价值[J].浙江医学,2016,38(17):1415-1418.
[6]刘海杰.三种超声技术在慢性心力衰竭心脏同步检测中的应用价值[J].中国药物经济学,2015,10(2):182-183.
[7]马成彬,章加宝,李东野.二维超声斑点追踪评价生脉注射液对冠心病心力衰竭患者左室收缩功能的影响[J].江苏医药,2013,39(18):2153-2155.
[8]刘凤岐,曲仁海,孙桂芳,等.心区交感神经阻滞对慢性心力衰竭患者左心室重构及心功能的影响[J].中国超声医学杂志,2015,31(7):596-598.
[9]梁德贤,李庆军,陈康荣.Tei指数与二维斑点追踪成像对慢性心力衰竭患者左心功能评价效果比较[J].黑龙江医学,2015,39(8):895-897.
[10]姜红娟,徐烨华,熊爱琴,等.速度向量成像技术对慢性心力衰竭患者心功能的评估价值[J].临床心血管病杂志,2017,33(4):343-347.
[11]陈金玲,姜凤霞,宋宏宁,等.超声评价慢性充血性心力衰竭患者心脏再同步化治疗术后舒张功能及其与同步性的关系[J].临床超声医学杂志,2013,15(3):153-156.
[12]关正宇,马春燕,王永槐,等.超声心动图预测慢性充血性心力衰竭患者心脏再同步化治疗急性反应[J].中国医学影像技术,2015,31(5):737-741.
[13]徐刚,战介芝,王瑞清.心衰超声指数评价慢性心力衰竭患者心脏功能的临床意义[J].中国临床研究,2014,27(7):801-802.