中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
6期
846-848
,共3页
高血压,肺性%超声心动描记术%心室功能,左%婴儿,新生
高血壓,肺性%超聲心動描記術%心室功能,左%嬰兒,新生
고혈압,폐성%초성심동묘기술%심실공능,좌%영인,신생
Hypertension,pulmonary%Echocardiography%Ventricular function,left%Infant,newborn
目的 观察新生儿持续性肺动脉高压(PPHN)心脏构型及左心功能指标参数,探讨持续性肺动脉高压对新生儿心脏构型及左心功能的影响.方法 选择持续性肺动脉高压患儿 25例,其中轻度组(11例)、中度组(9例)、重度组(5例),将新生儿黄疸患儿23例设为对照组,超声心动图测量左房内径(LAD)、左室舒张末内径(LVDd)、右室舒张末内径(RVDd)、右房内径(RAD)等指标,对其超声心动图结果进行对比分析.结果 与对照组相比,肺动脉高压组均有左室舒张功能减退(均P ＜0.05),肺动脉高压组RVDd[轻度(8.45±1.21) mm、中度(9.56±0.88) mm、重度(11.40±1.94) mm]、RAD[轻度(11.27±1.34) mm、中度(13.00±1.87)mm、重度(15.80±1.78)mm]增大,并随肺动脉高压程度加重增大,差异均有统计学意义(t =2.53、7.09、2.14、4.77、2.88、2.04、4.59、7.12、2.34、5.12、3.07,均P＜0.05),重度纽LVDd(14.80±2.16)mm,较对照组的(15.26±1.83)mm及轻度组(16.55±1.50)mm、中度组(15.67±1.87)mm减小,差异均有统计学意义(t=3.76、4.80、3.74,均P＜0.05).结论 超声心动图是PPHN重要的无创诊断方法,它不仅可准确测量肺动脉压,还能提供心脏构型及功能指标,对临床判断病情轻重、指导治疗有重要价值.
目的 觀察新生兒持續性肺動脈高壓(PPHN)心髒構型及左心功能指標參數,探討持續性肺動脈高壓對新生兒心髒構型及左心功能的影響.方法 選擇持續性肺動脈高壓患兒 25例,其中輕度組(11例)、中度組(9例)、重度組(5例),將新生兒黃疸患兒23例設為對照組,超聲心動圖測量左房內徑(LAD)、左室舒張末內徑(LVDd)、右室舒張末內徑(RVDd)、右房內徑(RAD)等指標,對其超聲心動圖結果進行對比分析.結果 與對照組相比,肺動脈高壓組均有左室舒張功能減退(均P ＜0.05),肺動脈高壓組RVDd[輕度(8.45±1.21) mm、中度(9.56±0.88) mm、重度(11.40±1.94) mm]、RAD[輕度(11.27±1.34) mm、中度(13.00±1.87)mm、重度(15.80±1.78)mm]增大,併隨肺動脈高壓程度加重增大,差異均有統計學意義(t =2.53、7.09、2.14、4.77、2.88、2.04、4.59、7.12、2.34、5.12、3.07,均P＜0.05),重度紐LVDd(14.80±2.16)mm,較對照組的(15.26±1.83)mm及輕度組(16.55±1.50)mm、中度組(15.67±1.87)mm減小,差異均有統計學意義(t=3.76、4.80、3.74,均P＜0.05).結論 超聲心動圖是PPHN重要的無創診斷方法,它不僅可準確測量肺動脈壓,還能提供心髒構型及功能指標,對臨床判斷病情輕重、指導治療有重要價值.
목적 관찰신생인지속성폐동맥고압(PPHN)심장구형급좌심공능지표삼수,탐토지속성폐동맥고압대신생인심장구형급좌심공능적영향.방법 선택지속성폐동맥고압환인 25례,기중경도조(11례)、중도조(9례)、중도조(5례),장신생인황달환인23례설위대조조,초성심동도측량좌방내경(LAD)、좌실서장말내경(LVDd)、우실서장말내경(RVDd)、우방내경(RAD)등지표,대기초성심동도결과진행대비분석.결과 여대조조상비,폐동맥고압조균유좌실서장공능감퇴(균P ＜0.05),폐동맥고압조RVDd[경도(8.45±1.21) mm、중도(9.56±0.88) mm、중도(11.40±1.94) mm]、RAD[경도(11.27±1.34) mm、중도(13.00±1.87)mm、중도(15.80±1.78)mm]증대,병수폐동맥고압정도가중증대,차이균유통계학의의(t =2.53、7.09、2.14、4.77、2.88、2.04、4.59、7.12、2.34、5.12、3.07,균P＜0.05),중도뉴LVDd(14.80±2.16)mm,교대조조적(15.26±1.83)mm급경도조(16.55±1.50)mm、중도조(15.67±1.87)mm감소,차이균유통계학의의(t=3.76、4.80、3.74,균P＜0.05).결론 초성심동도시PPHN중요적무창진단방법,타불부가준학측량폐동맥압,환능제공심장구형급공능지표,대림상판단병정경중、지도치료유중요개치.
Objective To observe the parameters of echocardiography in persistent pulmonary hypertension of the newborn(PPHN),and to discuss the influence of persistent pulmonary hypertension on cardiac geometry and left ventricul ar function.Methods 25 cases with PPHN were selected,including 11 mild,9 moderate,and 5 severe cases.Another 23 cases of neonatal jaundice were selected as control group.The left atrium diameter(LAD),left ventricular end diastolic diameter (LVDd),right ventricular end diastolic diameter (RVDd),right atrium diameter (RAD),left ventricular posterior wall thickness (LVPW),interventricular septum thickness (IVS) were measured by echocardiography.The results of echocardiography were analyzed.Results Compared with the control group,the RVDd and RAD of PPHN group were significantly increased,RVDd and RAD dilated with the increasing of pulmonary artery systolic pressure in PPHN group (t =2.53,7.09,2.14,4.77,2.88,2.04,4.59,7.12,2.34,5.12,3.07,all P ＜0.05) ;LVDd decreased in severe group (14.80 ±2.16) mm compared with that in the control group (15.26 ±1.83) mm,mild (16.55 ± 1.50) mm and moderate group (15.67 ± 1.87) mm(t =3.76,4.80,3.74,all P ＜ 0.05).Conclusion Echocardiography is one of the most important method to diagnose PPHN,and can be observed in newborns with non-invasive cardiac changes directly.lt has important value in judgement of severity degree,and provide a reliable basis for clinical diagnosis and treatment.
