心脏超声在慢性心力衰竭患者诊断及心脏功能评价中的作用
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摘要
目的探讨心脏超声在慢性心力衰竭(CHF)患者诊断及心脏功能评价中的作用。方法选取我院2015年1月～2018年1月诊疗的137例CHF患者为观察组,同期健康体检人员137例为对照组,均行心脏超声检查和心脏功能评价。结果观察组左室射血分数(LVEF)、心脏指数(CI)低于对照组;左室舒张末期内径(LVEDD)、左房内径(LV)、HFEI评分高于对照组(P<0.05)。心功能Ⅳ级患者LVEF、CI低于心功能Ⅰ、Ⅱ、Ⅲ级患者;LVEDD、LV、HFEI评分高于心功能级Ⅰ、Ⅱ、Ⅲ级患者(P<0.05)。心功能Ⅲ级患者LVEF、CI低于心功能Ⅰ、Ⅱ级患者;LVEDD、LV、HFEI评分高于心功能Ⅰ、Ⅱ级患者(P<0.05)。心功能Ⅱ级患者LVEF、CI低于心功能Ⅰ级患者;LVEDD、LV、HFEI评分高于心功能Ⅰ级患者(P<0.05)。心脏功能分级与LVEF、CI成正相关性(P<0.05);与LVEDD、LV、HFEI评分成负相关性(P<0.05)。结论心脏超声可用于CHF的临床诊断,与心脏功能评价密切相关。
Objective To investigate effect of echocardiography in diagnosis and cardiac function evaluation for patients with chronic heart failure(CHF).Methods A total of 137 patients with CHF were selected in our hospital from January2015 to January 2018 as observation group.137 health checkup people were selected at same period as control group.All people received echocardiography and cardiac function evaluation.Results Left ventricular ejection fraction(LVEF),cardiac index(CI) in the observation group were lower than that in the control group;while left ventricular end diastolic diameter(LVEDD),left atrial diameter(LV),HFEI score in the observation group were higher than those in the control group(P<0.05).LVEF,CI in patients with grade Ⅳ were lower than that patients with grade Ⅰ,Ⅱ,Ⅲ;while LVEDD,LV,HFEI scores in patients with grade Ⅳ were higher than those patients with grade Ⅰ,Ⅱ,Ⅲ(P<0.05).LVEF,CI in patients with grade Ⅲ were lower than those patients with gradeⅠ,Ⅱ;while LVEDD,LV,HFEI scores in patients with grade Ⅲ were higher than those patients with grade Ⅰ,Ⅱ(P<0.05).LVEF,CI in patients with grade Ⅱwere lower than those patients with grade Ⅰ;while LVEDD,LV,HFEI score in patients with grade Ⅱ were higher than those patients with grade I(P<0.05).There were positive correlation between cardiac function classification and LVEF,CI(P<0.05).There were negative correlation between cardiac function classification and LVEDD,LV,HFEI score(P<0.05).Conclusion Echocardiography can be used in clinical diagnosis of CHF,which is closely related to cardiac function evaluation.
Objective To investigate effect of echocardiography in diagnosis and cardiac function evaluation for patients with chronic heart failure(CHF).Methods A total of 137 patients with CHF were selected in our hospital from January2015 to January 2018 as observation group.137 health checkup people were selected at same period as control group.All people received echocardiography and cardiac function evaluation.Results Left ventricular ejection fraction(LVEF),cardiac index(CI) in the observation group were lower than that in the control group;while left ventricular end diastolic diameter(LVEDD),left atrial diameter(LV),HFEI score in the observation group were higher than those in the control group(P<0.05).LVEF,CI in patients with grade Ⅳ were lower than that patients with grade Ⅰ,Ⅱ,Ⅲ;while LVEDD,LV,HFEI scores in patients with grade Ⅳ were higher than those patients with grade Ⅰ,Ⅱ,Ⅲ(P<0.05).LVEF,CI in patients with grade Ⅲ were lower than those patients with gradeⅠ,Ⅱ;while LVEDD,LV,HFEI scores in patients with grade Ⅲ were higher than those patients with grade Ⅰ,Ⅱ(P<0.05).LVEF,CI in patients with grade Ⅱwere lower than those patients with grade Ⅰ;while LVEDD,LV,HFEI score in patients with grade Ⅱ were higher than those patients with grade I(P<0.05).There were positive correlation between cardiac function classification and LVEF,CI(P<0.05).There were negative correlation between cardiac function classification and LVEDD,LV,HFEI score(P<0.05).Conclusion Echocardiography can be used in clinical diagnosis of CHF,which is closely related to cardiac function evaluation.
引文
[1]芦照青,王国兴,刘凤奎.急性心力衰竭患者NT-proBNP水平、影响因素及其与容量负荷和预后的相关性研究[J].临床和实验医学杂志,2017,16(2):163-166.
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[5]中华医学会心血管病学分会,中华心血管病杂志编辑委员会.慢性收缩性心力衰竭治疗建议[J].中华心血管病杂志,2002,30(1):7-23.
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[7]郭新胜.N末端脑钠肽、6 min步行试验与心功能NYHA分级之间的相关性分析[J].临床合理用药杂志,2011,4(23):16-17.
[8]吴依霖,黄伟.曲美他嗪联合运动康复治疗老年慢性心力衰竭的疗效分析[J].重庆医学,2016,45(32):4554-4558.
[9]张双,刘立杰,刘永政,等.运动康复锻炼对老年慢性心力衰竭患者心功能及自我效能的影响[J].中国循证心血管医学杂志,2017,9(1):92-94.
[10]霍本良,吕长泳,潘庆丽,等.经股动脉入路和经桡动脉入路经皮冠状动脉介入术治疗老年冠心病合并慢性左心衰竭患者的临床效果比较[J].实用心脑肺血管病杂志,2015,23(7):78-81.
[11]蔡裕福,谢晓霞,陈文威.桡动脉入路行经皮冠状动脉介入术治疗老年冠心病并慢性左心衰竭患者疗效观察[J].中华实用诊断与治疗杂志,2015,29(3):265-267.
[12]曹乐.曲美他嗪与地高辛治疗前后心力衰竭患者心脏超声指标比较[J].现代仪器与医疗,2015,21(5):53-54.
[13]韩大兴,王芳芳,周宇廷,等.慢性心力衰竭患者血清肌钙蛋白Ⅰ脑钠肽与纽约心脏病协会心功能分级及心脏超声参数相关性分析[J].山西医药杂志,2017,46(9):1022-1024.
[14]吴正蓉,钟华,戚龙.美托洛尔治疗老年高血压相关左室射血分数正常的左心衰竭的可行性研究[J].实用心脑肺血管病杂志,2015,23(2):17-21.
[15]江波,林晨志.无创正压通气对老年急性左心衰竭患者血浆N端脑钠肽前体浓度及左室射血分数的影响[J].福建医药杂志,2016,38(6):18-20.
[2]王翠艳,王丽辉.老年慢性心力衰竭患者心功能与甲状腺激素、氨基末端脑钠肽前体的变化及对预后的影响[J].中国临床医生杂志,2016,44(1):32-35.
[3]司锟.慢性心力衰竭临床常见证型与心脏超声结果相关性研究[J].中华中医药学刊,2015,33(6):1505-1508.
[4]汤北平.慢性心力衰竭患者心脏超声诊断参数临床价值[J].深圳中西医结合杂志,2016,26(17):53-55.
[5]中华医学会心血管病学分会,中华心血管病杂志编辑委员会.慢性收缩性心力衰竭治疗建议[J].中华心血管病杂志,2002,30(1):7-23.
[6]利建,刘富湘,吴扬燕,等.超声心动图综合参数在慢性心力衰竭病人中的应用意义探析[J].现代医用影像学,2017,26(4):907-909.
[7]郭新胜.N末端脑钠肽、6 min步行试验与心功能NYHA分级之间的相关性分析[J].临床合理用药杂志,2011,4(23):16-17.
[8]吴依霖,黄伟.曲美他嗪联合运动康复治疗老年慢性心力衰竭的疗效分析[J].重庆医学,2016,45(32):4554-4558.
[9]张双,刘立杰,刘永政,等.运动康复锻炼对老年慢性心力衰竭患者心功能及自我效能的影响[J].中国循证心血管医学杂志,2017,9(1):92-94.
[10]霍本良,吕长泳,潘庆丽,等.经股动脉入路和经桡动脉入路经皮冠状动脉介入术治疗老年冠心病合并慢性左心衰竭患者的临床效果比较[J].实用心脑肺血管病杂志,2015,23(7):78-81.
[11]蔡裕福,谢晓霞,陈文威.桡动脉入路行经皮冠状动脉介入术治疗老年冠心病并慢性左心衰竭患者疗效观察[J].中华实用诊断与治疗杂志,2015,29(3):265-267.
[12]曹乐.曲美他嗪与地高辛治疗前后心力衰竭患者心脏超声指标比较[J].现代仪器与医疗,2015,21(5):53-54.
[13]韩大兴,王芳芳,周宇廷,等.慢性心力衰竭患者血清肌钙蛋白Ⅰ脑钠肽与纽约心脏病协会心功能分级及心脏超声参数相关性分析[J].山西医药杂志,2017,46(9):1022-1024.
[14]吴正蓉,钟华,戚龙.美托洛尔治疗老年高血压相关左室射血分数正常的左心衰竭的可行性研究[J].实用心脑肺血管病杂志,2015,23(2):17-21.
[15]江波,林晨志.无创正压通气对老年急性左心衰竭患者血浆N端脑钠肽前体浓度及左室射血分数的影响[J].福建医药杂志,2016,38(6):18-20.