CAJ | 학술논문

目的：探讨超声心动图在评价妊娠高血压综合征（妊高征）患者左心功能中的价值。方法：选取2011年1月至2013年10月妊高征患者60例和正常孕妇60例，采用超声心动图检测左心参数，计算左心室Tei指数、左房容积指数（LAVI），并将两组心率（HR）、左室射血分数（EF）、左心室Tei指数、LAVI、二尖瓣口的舒张早期血流最大峰(E)值、舒张晚期血流最大峰（A）值及E/A比值进行比较。结果：妊高征患者的LAVI增加明显，二尖瓣口血流E峰降低， A峰增加，E/A比值降低，与正常孕妇比较差异有统计学意义（P<0.05）。结论：妊高征患者左心室功能因心肌损害程度及发病时间不同而有不同程度的降低，对妊高征患者及时进行超声心动图检查，可监测其左心功能，预防心力衰竭发生。
목적：탐토초성심동도재평개임신고혈압종합정（임고정）환자좌심공능중적개치。방법：선취2011년1월지2013년10월임고정환자60례화정상잉부60례，채용초성심동도검측좌심삼수，계산좌심실Tei지수、좌방용적지수（LAVI），병장량조심솔（HR）、좌실사혈분수（EF）、좌심실Tei지수、LAVI、이첨판구적서장조기혈류최대봉(E)치、서장만기혈류최대봉（A）치급E/A비치진행비교。결과：임고정환자적LAVI증가명현，이첨판구혈류E봉강저， A봉증가，E/A비치강저，여정상잉부비교차이유통계학의의（P<0.05）。결론：임고정환자좌심실공능인심기손해정도급발병시간불동이유불동정도적강저，대임고정환자급시진행초성심동도검사，가감측기좌심공능，예방심력쇠갈발생。
Objective:To study the value of the echocardiography in evaluation of the left heart function of the patients with pregnancy-induced hypertension (PIH). Methods: From Jan. 2011 to Oct. 2013, 60 PIH patients and 60 normotensive pregnant women were selected. The echocardiography was used to detect the left ventricular parameters, and calculate the left ventricular Tei index, and left atrial volume index (LAVI). The heart rate (HR), left ventricular ejection fraction, left ventricular Tei-index, LAVI, the values including E, and A and the ratio of E/A of the maximum peaks of the early and late diastolic blood lfow velocities of the mitral valve oriifce were compared between two groups. Results:The LAVI, and the peak of A increased and the peak of E and the ratio of E/A decreased in the PIH group, which there were the statistical differences compared with in the normotensive group (P<0.05). Conclusion:The ventricular function of the PIH patients decreased in different degrees with the extent of myocardial damage and its occurrence time. The PIH patients are examined with the echocardiography timely which can monitor the left ventricular function and prevent the occurrence of the heart failure.