研究超声心动图测定心外膜脂肪厚度在高血压性心脏病诊断中的价值
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摘要
目的探讨心外膜脂肪厚度超声心动图检测诊断高血压性心脏病的临床价值。方法方便选取2017年1月—2018年12月该院76例高血压性心脏病患者为实验组,择取同期76例健康志愿者为对照组,超声心动图测定两组受检者心外膜脂肪厚度,比较观察两组以及实验组不同病变程度患者的指标水平差异。结果实验组左心室收缩末期心外膜脂肪厚度(7.16±1.52)mm,舒张末期心外膜脂肪厚度(3.82±0.96)mm,均高于对照组(t=5.172,3.967;P<0.05)。实验组轻、中、重度患者收缩末期EAT厚度分别为(6.03±1.95)mm、(8.37±2.26)mm、(9.45±2.73)mm,舒张末期EAT厚度分别为(3.28±0.77)mm、(4.33±0.91)mm、(5.12±1.04)mm,Person相关性分析示两者呈正相关(r=0.815,0.836;P=0.008)。结论超声心动图测定心外膜脂肪厚度能够为高血压性心脏病临床诊断提供有价值的依据,在评估患者病情严重程度方面也具有一定参考价值,值得临床推广使用。
Objective To investigate the clinical value of epicardial fat thickness echocardiography in the diagnosis of hypertensive heart disease. Methods From January 2017 to December 2018, 76 patients with hypertensive heart disease in our hospital were convenient used as experimental group. 76 healthy volunteers in the same period were selected as the control group. Echocardiography was used to measure the epicardium of the two groups. The thickness of the fat was compared between the two groups and the difference in the index level of the patients with different degrees of disease in the experimental group. Results The left ventricular endocardial fat thickness(7.16±1.52) mm and the end-diastolic epicardial fat thickness(3.82±0.96) mm were higher in the experimental group than in the control group(t=5.172,3.967; P<0.05). The EAT thickness of the end-systolic phase of the experimental group was(6.03 ±1.95) mm,(8.37±2.26) mm,(9.45±2.73) mm, and the end-diastolic EAT thickness was(3.28±0.77) mm,(4.33±0.91) mm,(5.12±1.04) mm, Person correlation analysis showed a positive correlation(r=0.815, 0.836; P=0.008). Conclusion Echocardiographic determination of epicardial fat thickness can provide a valuable basis for the clinical diagnosis of hypertensive heart disease. It also has certain reference value in assessing the severity of the patient's condition. It is worthy of clinical promotion.
Objective To investigate the clinical value of epicardial fat thickness echocardiography in the diagnosis of hypertensive heart disease. Methods From January 2017 to December 2018, 76 patients with hypertensive heart disease in our hospital were convenient used as experimental group. 76 healthy volunteers in the same period were selected as the control group. Echocardiography was used to measure the epicardium of the two groups. The thickness of the fat was compared between the two groups and the difference in the index level of the patients with different degrees of disease in the experimental group. Results The left ventricular endocardial fat thickness(7.16±1.52) mm and the end-diastolic epicardial fat thickness(3.82±0.96) mm were higher in the experimental group than in the control group(t=5.172,3.967; P<0.05). The EAT thickness of the end-systolic phase of the experimental group was(6.03 ±1.95) mm,(8.37±2.26) mm,(9.45±2.73) mm, and the end-diastolic EAT thickness was(3.28±0.77) mm,(4.33±0.91) mm,(5.12±1.04) mm, Person correlation analysis showed a positive correlation(r=0.815, 0.836; P=0.008). Conclusion Echocardiographic determination of epicardial fat thickness can provide a valuable basis for the clinical diagnosis of hypertensive heart disease. It also has certain reference value in assessing the severity of the patient's condition. It is worthy of clinical promotion.
引文
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[9]陈聿峰,楚罗湘,谢剑,等.心外膜脂肪组织厚度与冠状动脉狭窄程度的相关性及对不稳定型心绞痛、急性心肌梗死的影响[J].中国心血管病研究,2013,11(12):932-935.
[10]曹衡玉.超声评价老年患者心外膜脂肪组织厚度与冠心病发生及冠状动脉狭窄程度的相关性分析[J].世界临床医学,2016,10(21):206-207.
[11]贺亚群,朱小虎,黄杨,等.超声评价心外膜脂肪厚度与颈动脉斑块稳定性的相关性研究[J].成都医学院学报,2017,12(6):707-710,714.
[2]李赵欢,欧阳征鹏,罗安果,等.超声心动图测量心外膜脂肪层厚度对冠心病的预测价值研究[J].实用医院临床杂志,2017,14(5):47-49.
[3]彭红玉,吕志阳,柳景华,等.经胸超声心动图测量心脏外膜脂肪厚度与老年冠心病患者的相关性研究[J].中华老年心脑血管病杂志,2015(9):949-952.
[4]彭红玉,柳景华,吕志阳,等.经胸超声心动图测量心外膜脂肪厚度与冠心病的相关性研究[J].临床心血管病杂志,2015,31(12):1279-1282.
[5]Nabati Maryam,Favaedi Maryam,Kheirgoo Masoud,et al.Correlation between epicardial fat thickness and aortic valve sclerosis[J].Asian Cardiovascular and Thoracic Annals,2018,26(3):188-195.
[6]Mozhdeh Dabirian,Maryam Nabati,Maryam Favaedi,et al.Correlation between epicardial fat thickness and aortic valve sclerosis[J].Asian cardiovascular&thoracic annals,2018,26(3):188-195.
[7]Valeria Calcaterra,Hellas Cena.Epicardial Fat Thickness in Non-Obese Neurologically Impaired Children:Association with Unfavorable Cardiometabolic Risk Profile[J].Annals of Nutrition&Metabolism,2018,72(2):96-103.
[8]侯伟.超声检查冠心病患者心外膜脂肪层厚度与颈部血管弹性及其两者的相关性研究[J].中国伤残医学,2015,23(18):87-88.
[9]陈聿峰,楚罗湘,谢剑,等.心外膜脂肪组织厚度与冠状动脉狭窄程度的相关性及对不稳定型心绞痛、急性心肌梗死的影响[J].中国心血管病研究,2013,11(12):932-935.
[10]曹衡玉.超声评价老年患者心外膜脂肪组织厚度与冠心病发生及冠状动脉狭窄程度的相关性分析[J].世界临床医学,2016,10(21):206-207.
[11]贺亚群,朱小虎,黄杨,等.超声评价心外膜脂肪厚度与颈动脉斑块稳定性的相关性研究[J].成都医学院学报,2017,12(6):707-710,714.