慢性阻塞性肺疾病患者应用超声心动图对其右心功能的评价作用
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摘要
目的探讨慢性阻塞性肺疾病患者应用超声心动图对其右心功能的评价作用。方法将医院2012年2月~2015年2月收治的90例慢性阻塞性肺疾病患者纳入观察组,另外选择90例同期健康体检的健康人群为对照组,采用超声心动图对两组受检者右心功能各项指标进行检测与评价。结果观察组与对照组右房室瓣环侧壁收缩期组织速度及右心室面积变化率相比较,差异不显著,无统计学意义,P>0.05;观察组患者右心室侧壁基底段纵向应变率及右房室瓣环收缩期位移均明显小于对照组,差异显著,具有统计学意义,P<0.05。观察组患者右心室面积、右心室基底段内径、右心房左右径和上下径、胸骨旁大动脉短轴切面及胸骨旁长轴切面右心室流出道近端内径、剑突下右心室侧壁厚度及肺动脉内径均明显大于对照组,差异显著,具有统计学意义,P<0.05。观察组与对照组组织多普勒a波峰值、组织多普勒e波峰值、右房室瓣舒张晚期A波峰值、右房瓣舒张早期E波峰值及E/e值相比较,差异不显著,无统计学意义,P>0.05;观察组患者E/A值明显小于对照组,差异显著,具有统计学意义,P<0.05。观察组患者右心室心肌做功指数明显大于对照组,差异显著,具有统计学意义,P<0.05。结论采用超声心动图可有利于临床评估慢性阻塞性肺疾病患者右心功能,从而为临床治疗及评估患者预后提供依据。
Objective To evaluate the effect of echocardiography on right ventricular function in patients with chronic obstructive pulmonary disease( COPD). Methods 90 patients with COPD,who were treated in our hospital from February 2012 to February 2015,were included in the observation group,and 90 healthy subjects were selected as the control group. Echocardiography was used to compare the right heart Function of the indicators for testing and evaluation. Results There was no significant difference between the observation group and the control group in the systolic velocity and right ventricular area of the right atrioventricular valve annulus( P > 0. 05). The longitudinal strain value of the basal segment of the right ventricle in the observation group and right atrioventricular valve ring systolic displacement were significantly smaller than the control group,the difference was significant,with statistical significance,P < 0. 05. The area of the right ventricle,the diameter of the right ventricle,the diameter of the right ventricle,the diameter of the right ventricle,the diameter of the right ventricle,and pulmonary artery diameter were significantly larger than the control group,the difference was significant,with statistical significance( P < 0. 05). There was no significant difference between the observation group and the control group in the values of Doppler a wave peak,tissue Doppler e wave peak,right atrioventricular valve diastolic A wave peak,right atrial diastolic early E wave peak and E / e value( P <0. 05). However,the E / A value of the observation group was significantly lower than that of the control group,the difference was statistically significant( P < 0. 05). The exercise index of the right ventricular myocardium in the observation group was significantly higher than that in the control group,the difference was statistically significant( P < 0. 05). Conclusion Echocardiography can be used to evaluate the clinical function of patients with COPD order to provide the basis for clinical treatment and prognosis of patients.
Objective To evaluate the effect of echocardiography on right ventricular function in patients with chronic obstructive pulmonary disease( COPD). Methods 90 patients with COPD,who were treated in our hospital from February 2012 to February 2015,were included in the observation group,and 90 healthy subjects were selected as the control group. Echocardiography was used to compare the right heart Function of the indicators for testing and evaluation. Results There was no significant difference between the observation group and the control group in the systolic velocity and right ventricular area of the right atrioventricular valve annulus( P > 0. 05). The longitudinal strain value of the basal segment of the right ventricle in the observation group and right atrioventricular valve ring systolic displacement were significantly smaller than the control group,the difference was significant,with statistical significance,P < 0. 05. The area of the right ventricle,the diameter of the right ventricle,the diameter of the right ventricle,the diameter of the right ventricle,the diameter of the right ventricle,and pulmonary artery diameter were significantly larger than the control group,the difference was significant,with statistical significance( P < 0. 05). There was no significant difference between the observation group and the control group in the values of Doppler a wave peak,tissue Doppler e wave peak,right atrioventricular valve diastolic A wave peak,right atrial diastolic early E wave peak and E / e value( P <0. 05). However,the E / A value of the observation group was significantly lower than that of the control group,the difference was statistically significant( P < 0. 05). The exercise index of the right ventricular myocardium in the observation group was significantly higher than that in the control group,the difference was statistically significant( P < 0. 05). Conclusion Echocardiography can be used to evaluate the clinical function of patients with COPD order to provide the basis for clinical treatment and prognosis of patients.
引文
[1]俞霏,尹凤英,陈立斌,等.超声心动图评估慢性阻塞性肺疾病患者的右心室收缩功能改变[J].中国超声医学杂志,2014,30(2):121-125.
[2]王庆红,杨娜.超声心动图评估慢性阻塞性肺疾病患者的右心室收缩功能改变[J].临床肺科杂志,2015,20(4):701-703.
[3]梁蕾,闻志超,郭君,等.实时三维超声心动图评价慢性阻塞性肺疾病患者右心室功能的研究[J].重庆医学,2013,42(4):398-400.
[4]张慧.超声心动图对慢性阻塞性肺疾病患者右心功能的评估价值分析[J].中国实验诊断学,2015,19(4):625-627.
[5]朱博鹰,李青,左红卫,等.超声心动图评估稳定期慢性阻塞性肺疾病患者右心功能的价值[J].中国中西医结合影像学杂志,2015,13(4):389-392.
[6]莫为春,张志华,王伟,等.慢性阻塞性肺疾病患者超声心动图心脏功能特点分析[J].中华全科医师杂志,2016,15(2):130-134.
[7]赵欣,费广鹤.慢性阻塞性肺疾病急性加重期患者的CAT评分与右心功能相关性研究[J].临床肺科杂志,2015,20(6):1030-1033,1034.
[8]胡劼,李华.实时三维超声心动图对轻度慢性阻塞性肺疾病患者右心功能早期改变的评估价值[J].中华超声影像学杂志,2014,23(4):357-358.
[9]王蕾.超声心动图评价慢性阻塞性肺疾病患者右心室功能的研究进展[J].中国中西医结合影像学杂志,2013,11(4):440-443.
[10]陈刚,徐永芳,徐曌,等.老年慢性阻塞性肺疾病患者左心室舒张功能与射血分数保留心力衰竭[J].中国老年学杂志,2016,36(10):2434-2436.
[11]王同生,毛毅敏,孙瑜霞,等.慢性阻塞性肺疾病合并肺动脉高压的临床特征及高危因素[J].中华内科杂志,2015,54(12):1037-1040.
[12]郭璐,刘跃建,解郑良,等.多普勒超声心动图估测肺动脉高压患者血流动力学参数的价值[J].中华肺部疾病杂志(电子版),2014,7(3):14-19.
[13]刘辉,刘锦铭,郭建,等.慢性阻塞性肺疾病相关肺动脉高压患者运动耐力及通气有效性的研究[J].国际呼吸杂志,2015,35(9):670-675.
[14]孙颖,王倩倩,马清,等.老年患者慢性阻塞性肺疾病与左室舒张功能的关系[J].临床和实验医学杂志,2016,13(13):1241-1245.
[2]王庆红,杨娜.超声心动图评估慢性阻塞性肺疾病患者的右心室收缩功能改变[J].临床肺科杂志,2015,20(4):701-703.
[3]梁蕾,闻志超,郭君,等.实时三维超声心动图评价慢性阻塞性肺疾病患者右心室功能的研究[J].重庆医学,2013,42(4):398-400.
[4]张慧.超声心动图对慢性阻塞性肺疾病患者右心功能的评估价值分析[J].中国实验诊断学,2015,19(4):625-627.
[5]朱博鹰,李青,左红卫,等.超声心动图评估稳定期慢性阻塞性肺疾病患者右心功能的价值[J].中国中西医结合影像学杂志,2015,13(4):389-392.
[6]莫为春,张志华,王伟,等.慢性阻塞性肺疾病患者超声心动图心脏功能特点分析[J].中华全科医师杂志,2016,15(2):130-134.
[7]赵欣,费广鹤.慢性阻塞性肺疾病急性加重期患者的CAT评分与右心功能相关性研究[J].临床肺科杂志,2015,20(6):1030-1033,1034.
[8]胡劼,李华.实时三维超声心动图对轻度慢性阻塞性肺疾病患者右心功能早期改变的评估价值[J].中华超声影像学杂志,2014,23(4):357-358.
[9]王蕾.超声心动图评价慢性阻塞性肺疾病患者右心室功能的研究进展[J].中国中西医结合影像学杂志,2013,11(4):440-443.
[10]陈刚,徐永芳,徐曌,等.老年慢性阻塞性肺疾病患者左心室舒张功能与射血分数保留心力衰竭[J].中国老年学杂志,2016,36(10):2434-2436.
[11]王同生,毛毅敏,孙瑜霞,等.慢性阻塞性肺疾病合并肺动脉高压的临床特征及高危因素[J].中华内科杂志,2015,54(12):1037-1040.
[12]郭璐,刘跃建,解郑良,等.多普勒超声心动图估测肺动脉高压患者血流动力学参数的价值[J].中华肺部疾病杂志(电子版),2014,7(3):14-19.
[13]刘辉,刘锦铭,郭建,等.慢性阻塞性肺疾病相关肺动脉高压患者运动耐力及通气有效性的研究[J].国际呼吸杂志,2015,35(9):670-675.
[14]孙颖,王倩倩,马清,等.老年患者慢性阻塞性肺疾病与左室舒张功能的关系[J].临床和实验医学杂志,2016,13(13):1241-1245.