中华医学超声杂志（电子版）
中華醫學超聲雜誌（電子版）
중화의학초성잡지（전자판）
CHINESE JOURNAL OF MEDICAL ULTRASOUND(ELECTRONICAL VISION)
2010年
12期
2095-2100
,共6页
超声心动图描记术%高血压%心脏瓣膜疾病%心室功能
超聲心動圖描記術%高血壓%心髒瓣膜疾病%心室功能
초성심동도묘기술%고혈압%심장판막질병%심실공능
Echocardiography%Hypertension%Heart valve disease%Ventricular function
目的 通过超声心动图探讨老年高血压病患者伴心脏瓣膜退行性改变对心功能和血流动力学影响. 方法 根据126例老年高血压病患者心脏各瓣膜变化情况分为瓣膜病变组(36例)、无瓣膜病变组(90例),32例健康老人作为正常对照组.应用超声心动图检测3组患者左心室舒张末期内径(LVDD)、室间隔厚度(IVST)和左心室壁厚度(LVPWT),左心房面积(LAA)、左心室射血分数(LVEF)和肺动脉收缩压(PSAP),再行心电图检查心房颤动情况,并将3组数据进行组间比较分析.结果 高血压无瓣膜病变患者,瓣膜反流改变以二尖瓣最多(占86.1%),反流程度重度者以三尖瓣反流最多;瓣膜钙化以主动脉瓣多见.瓣膜病变组与无瓣膜病变组以及正常对照组LVDD、LAA、LVEF、PASP以及心房颤动发生率比较差异有统计学意义,而在瓣膜病变组与无瓣膜病变组之间心室壁厚度差异无统计学意义.结论 老年高血压患者合并心脏瓣膜改变是加重心功能损害的重要因素.
目的 通過超聲心動圖探討老年高血壓病患者伴心髒瓣膜退行性改變對心功能和血流動力學影響. 方法 根據126例老年高血壓病患者心髒各瓣膜變化情況分為瓣膜病變組(36例)、無瓣膜病變組(90例),32例健康老人作為正常對照組.應用超聲心動圖檢測3組患者左心室舒張末期內徑(LVDD)、室間隔厚度(IVST)和左心室壁厚度(LVPWT),左心房麵積(LAA)、左心室射血分數(LVEF)和肺動脈收縮壓(PSAP),再行心電圖檢查心房顫動情況,併將3組數據進行組間比較分析.結果 高血壓無瓣膜病變患者,瓣膜反流改變以二尖瓣最多(佔86.1%),反流程度重度者以三尖瓣反流最多;瓣膜鈣化以主動脈瓣多見.瓣膜病變組與無瓣膜病變組以及正常對照組LVDD、LAA、LVEF、PASP以及心房顫動髮生率比較差異有統計學意義,而在瓣膜病變組與無瓣膜病變組之間心室壁厚度差異無統計學意義.結論 老年高血壓患者閤併心髒瓣膜改變是加重心功能損害的重要因素.
목적 통과초성심동도탐토노년고혈압병환자반심장판막퇴행성개변대심공능화혈류동역학영향. 방법 근거126례노년고혈압병환자심장각판막변화정황분위판막병변조(36례)、무판막병변조(90례),32례건강노인작위정상대조조.응용초성심동도검측3조환자좌심실서장말기내경(LVDD)、실간격후도(IVST)화좌심실벽후도(LVPWT),좌심방면적(LAA)、좌심실사혈분수(LVEF)화폐동맥수축압(PSAP),재행심전도검사심방전동정황,병장3조수거진행조간비교분석.결과 고혈압무판막병변환자,판막반류개변이이첨판최다(점86.1%),반류정도중도자이삼첨판반류최다;판막개화이주동맥판다견.판막병변조여무판막병변조이급정상대조조LVDD、LAA、LVEF、PASP이급심방전동발생솔비교차이유통계학의의,이재판막병변조여무판막병변조지간심실벽후도차이무통계학의의.결론 노년고혈압환자합병심장판막개변시가중심공능손해적중요인소.
Objective To investigate the change of cardiac function in elderly hypertensive patients with heart valve degenerative by echocardiography.Methods A total of 126 cases were divided into a valve disease group and non-valve disease group groups.The parameters of trial size,cardiac function and pulmonary artery pressure were detected.Results Of all 126 cases were the patients with hypertension including 28.6% (36/126) of valve disease group and 71.4% (90/126) of non-valve disease.There were 31 cases with mitral valve disease,22 cases with tricuspid valve disease; 26 cases with aortic valve disease; 36 cases with double or three alvular lesions in valve disease group.There was a significant difference in ventricle size and systolic function among valve disease group and non-valve disease group and control group.But there was no significant difference in thickness of ventricular wall between valve disease group and non-valve disease group.Conclusion The elderly hypertensive patient with valve disease was an independent factor for the development of congestive heart failure.
