中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
24期
4-6
,共3页
连文喜%钟秋红%余连芝%黄桂兰
連文喜%鐘鞦紅%餘連芝%黃桂蘭
련문희%종추홍%여련지%황계란
窒息,新生儿%心室功能,右%Tei指数
窒息,新生兒%心室功能,右%Tei指數
질식,신생인%심실공능,우%Tei지수
Asphyxia neonatorum%Ventricular function,right%Tei index
目的 探讨心肌活动指数(Tei指数)在评价新生儿窒息后右室功能中的作用.方法 选择60例窒息新生儿,其中轻度窒息(轻度窒息组)35例,重度窒息(重度窒息组)25例,另选择30例正常足月新生儿作为对照组,于出生后24～48 h以超声心动图测定肺动脉收缩压(PASP)、右室射血分数(RVEF)、三尖瓣口心室舒张早期峰值(E峰)、心室舒张晚期峰值(A峰),计算E/A,并从血流频谱测得右室心肌活动指数(RV-Tei指数).结果 轻度窒息组、重度窒息组RVEF、E/A与对照组比较差异无统计学意义(P＞0.05).轻度窒息组和重度窒息组RV-Tei指数均较对照组升高(0.489±0.090、0.625±0.100比0.345±0.120),差异有统计学意义(P＜ 0.05或＜0.01).轻度窒息组和重度窒息组RV-Tei指数比较差异亦有统计学意义(P＜0.05).窒息新生儿RV-Tei指数与PASP呈正相关(r=0.950,P＜0.05),与胎龄、体重、心率无相关性(r=-0.068、-0.280、-0.360,P＞0.05).结论 新生儿窒息后引起新生儿右室功能减低,Tei指数是评价窒息新生儿右室功能早期变化的简便而敏感的多普勒超声新指标.
目的 探討心肌活動指數(Tei指數)在評價新生兒窒息後右室功能中的作用.方法 選擇60例窒息新生兒,其中輕度窒息(輕度窒息組)35例,重度窒息(重度窒息組)25例,另選擇30例正常足月新生兒作為對照組,于齣生後24～48 h以超聲心動圖測定肺動脈收縮壓(PASP)、右室射血分數(RVEF)、三尖瓣口心室舒張早期峰值(E峰)、心室舒張晚期峰值(A峰),計算E/A,併從血流頻譜測得右室心肌活動指數(RV-Tei指數).結果 輕度窒息組、重度窒息組RVEF、E/A與對照組比較差異無統計學意義(P＞0.05).輕度窒息組和重度窒息組RV-Tei指數均較對照組升高(0.489±0.090、0.625±0.100比0.345±0.120),差異有統計學意義(P＜ 0.05或＜0.01).輕度窒息組和重度窒息組RV-Tei指數比較差異亦有統計學意義(P＜0.05).窒息新生兒RV-Tei指數與PASP呈正相關(r=0.950,P＜0.05),與胎齡、體重、心率無相關性(r=-0.068、-0.280、-0.360,P＞0.05).結論 新生兒窒息後引起新生兒右室功能減低,Tei指數是評價窒息新生兒右室功能早期變化的簡便而敏感的多普勒超聲新指標.
목적 탐토심기활동지수(Tei지수)재평개신생인질식후우실공능중적작용.방법 선택60례질식신생인,기중경도질식(경도질식조)35례,중도질식(중도질식조)25례,령선택30례정상족월신생인작위대조조,우출생후24～48 h이초성심동도측정폐동맥수축압(PASP)、우실사혈분수(RVEF)、삼첨판구심실서장조기봉치(E봉)、심실서장만기봉치(A봉),계산E/A,병종혈류빈보측득우실심기활동지수(RV-Tei지수).결과 경도질식조、중도질식조RVEF、E/A여대조조비교차이무통계학의의(P＞0.05).경도질식조화중도질식조RV-Tei지수균교대조조승고(0.489±0.090、0.625±0.100비0.345±0.120),차이유통계학의의(P＜ 0.05혹＜0.01).경도질식조화중도질식조RV-Tei지수비교차이역유통계학의의(P＜0.05).질식신생인RV-Tei지수여PASP정정상관(r=0.950,P＜0.05),여태령、체중、심솔무상관성(r=-0.068、-0.280、-0.360,P＞0.05).결론 신생인질식후인기신생인우실공능감저,Tei지수시평개질식신생인우실공능조기변화적간편이민감적다보륵초성신지표.
Objective To investigate the roles of cardiac activity index(Tei index) on evaluation the right ventricular function after neonatal asphyxia.Methods Sixty neonatal asphyxia who included 35 cases of mild asphyxia(mild asphyxia group) and 25 cases of severe asphyxia(severe asphyxia group) and 30 cases of normal full-term newborns(control group) were selected.Echocardiographic examinations were performed on 24-48 h after birth,which included pulmonary artery systolic pressure (PASP),right ventricular ejection fraction(RVEF),tricuspid early diastolic peak(peak E) and late diastolic peak(peak A),and E/A ratio was acquired.The right ventricular cardiac activity index (RV-Tei index) was measured by Doppler spectrum.Results There was no significant difference in RVEF,E/A ratio among mild asphyxia group,severe asphyxia group and control group (P ＞ 0.05).RV-Tei index in mild asphyxia group and severe asphyxia group was increased compared with that in control group (0.489 ± 0.090,0.625 ± 0.100 vs.0.345 ± 0.120),and there was significant difference (P＜ 0.05 or ＜0.01).There was significant difference in RV-Tei index between mild asphyxia group and severe asphyxia group (P ＜ 0.05).RV-Tei index in neonatal asphyxia was positively correlated with PASP (r =0.950,P ＜ 0.05),and there was no relationship between RV-Tei index and gestational age,weight,heart rate (r =-0.068,-0.280,-0.360,P ＞0.05).Conclusions Neonatal asphyxia can lead to disorders of the right ventricular function.Tei index can evaluate early overall changes of the right ventricular function and is better than conventional ultrasound technology in neonatal asphyxia.
