CAJ | 학술논문

目的探讨脑出血与脑梗塞患者左室功能不全的区别。方法本研究组23例脑梗塞，25例脑出血，24例健康人作为对照。常规标准超声心动图检查测量左室重量指数评价左室肥厚，采用二尖瓣血流频谱常规传统方法及组织多普勒二尖瓣环速度评价左室舒张功能。测量TEI指数评价整体功能。结果脑出血组和对照组相比，LVMI及TEI指数明显增高（P<0.05）。而脑梗塞组和对照组相比，差异无显著意义。结论：脑出血患者中高血压引起的左室舒张功能不全与左室肥厚要比脑梗塞患者明显。
목적탐토뇌출혈여뇌경새환자좌실공능불전적구별。방법본연구조23례뇌경새，25례뇌출혈，24례건강인작위대조。상규표준초성심동도검사측량좌실중량지수평개좌실비후，채용이첨판혈류빈보상규전통방법급조직다보륵이첨판배속도평개좌실서장공능。측량TEI지수평개정체공능。결과뇌출혈조화대조조상비，LVMI급TEI지수명현증고（P<0.05）。이뇌경새조화대조조상비，차이무현저의의。결론：뇌출혈환자중고혈압인기적좌실서장공능불전여좌실비후요비뇌경새환자명현。
Objective the purpose of this study was to examine the Dif erence in left ventricular disfunction between patients with cerebral hemorrhage and those with cerebral infarction. Methods the study enrol ed 23 hypertensive patients with cerebral infarction,25 hypertensive patients with cerebral hemorrhage,24 normal controls. Standard echocardiography was performed,conventional diastolic transmitral flow velocities were measured to assess left diastolic function,which was also evaluated by measuring mitral annular velocities by using tissue doppler imaging.TEI index was also calculated. Results the LV mass index and TEI index in cerebral infarction were not dif erent from those in controls;However,these parameters were significantly higher in cerebral hemorrhage than those in controls. Conclusions The results indicate that LV hypertrophy and dysfunction were apparent in cerebral hemorrhage than those in cerebral infarction.