国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
21期
3274-3277
,共4页
Tei指数%小儿重症肺炎%心功能
Tei指數%小兒重癥肺炎%心功能
Tei지수%소인중증폐염%심공능
Tei index%Pediatric severe pneumonia%Heart function
目的 探讨脉冲多普勒Tei指数在小儿重症肺炎心功能中的状态,为临床治疗及护理提供依据.方法 对60例健康体检小儿(正常组)及33例重症肺炎的患儿(肺炎组)行超声心动图检查,通过M型测量左心室射血分数,左心室短轴缩短率；通过脉冲多普勒测量左右心室等容收缩期时间、等容舒张期时间及射血时间及Tei指数的测定,两组数据进行对比分析.结果 肺炎组左右心室Tei指数均高于正常组,两者比较差异有统计学意义(P＜0.01)；肺炎组右心室Tei指数高于左心室Tei指数,两者比较差异有统计学意义(P＜0.01)；肺炎组与正常组的左心室射血分数及左心室短轴缩短率比较,两者差异无统计学意义(P＞0.05).结论 脉冲多普勒检测Tei指数是评价小儿重症肺炎心功能的一种新的较可靠方法,肺炎组左右心室Tei指数均高于正常组,在临床治疗及护理时应注意对肺炎患儿心功能的保护.
目的 探討脈遲多普勒Tei指數在小兒重癥肺炎心功能中的狀態,為臨床治療及護理提供依據.方法 對60例健康體檢小兒(正常組)及33例重癥肺炎的患兒(肺炎組)行超聲心動圖檢查,通過M型測量左心室射血分數,左心室短軸縮短率；通過脈遲多普勒測量左右心室等容收縮期時間、等容舒張期時間及射血時間及Tei指數的測定,兩組數據進行對比分析.結果 肺炎組左右心室Tei指數均高于正常組,兩者比較差異有統計學意義(P＜0.01)；肺炎組右心室Tei指數高于左心室Tei指數,兩者比較差異有統計學意義(P＜0.01)；肺炎組與正常組的左心室射血分數及左心室短軸縮短率比較,兩者差異無統計學意義(P＞0.05).結論 脈遲多普勒檢測Tei指數是評價小兒重癥肺炎心功能的一種新的較可靠方法,肺炎組左右心室Tei指數均高于正常組,在臨床治療及護理時應註意對肺炎患兒心功能的保護.
목적 탐토맥충다보륵Tei지수재소인중증폐염심공능중적상태,위림상치료급호리제공의거.방법 대60례건강체검소인(정상조)급33례중증폐염적환인(폐염조)행초성심동도검사,통과M형측량좌심실사혈분수,좌심실단축축단솔；통과맥충다보륵측량좌우심실등용수축기시간、등용서장기시간급사혈시간급Tei지수적측정,량조수거진행대비분석.결과 폐염조좌우심실Tei지수균고우정상조,량자비교차이유통계학의의(P＜0.01)；폐염조우심실Tei지수고우좌심실Tei지수,량자비교차이유통계학의의(P＜0.01)；폐염조여정상조적좌심실사혈분수급좌심실단축축단솔비교,량자차이무통계학의의(P＞0.05).결론 맥충다보륵검측Tei지수시평개소인중증폐염심공능적일충신적교가고방법,폐염조좌우심실Tei지수균고우정상조,재림상치료급호리시응주의대폐염환인심공능적보호.
Objective To discuss the state of pediatric severe pneumonia heart function using pulsed Doppler Tei index,and provide evidence for clinical diagnosis and treatment.Methods 60 healthy children (normal group) and 33 children with severe pneumonia (pneumonia group) were examined with echocardiography.Left ventricular ejective fraction and fraction shortening were measured by color M-mode Doppler echocardiography; left and right ventricular isovolumic contraction time,isovolumic relaxation time,ejection time and Tei index were measured by pulsed Doppler.The data of two groups were compared and analyzed.Results Left and fight ventricular Tei indexes of pneumonia group were significantly higher than those of normal group,with statistical significant differences between two groups (P ＜ 0.01).Right ventricular Tei index was higher than left ventricular Tei index in pneumonia group,with statistical significant difference (P ＜ 0.01).There were no statistically significant differences in left ventricular ejective fraction and fraction shortening between two groups (P ＞ 0.05).Conclusions Pulsed Doppler Tei index is a new and reliable method in the evaluation of pediatric severe pneumonia heart function.Left and right ventricular Tei indexes of pneumonia group were significantly higher than those of normal group.Heart function in children with pneumonia should be protected during the clinical diagnosis and treatment.
