中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
9期
16-18
,共3页
妊娠%心动过速,窦性%超声心动描记术%围生期
妊娠%心動過速,竇性%超聲心動描記術%圍生期
임신%심동과속,두성%초성심동묘기술%위생기
Pregnancy%Tachycardia,sinus%Echocardiography%Perinatal stage
目的 分析围生期窦性心动过速孕妇的超声心动图特点并探讨其临床意义.方法 选取住院分娩窦性心动过速孕妇30例(试验组)和健康孕妇30例(对照组),对比两组超声心动图检查结果及临床资料.结果 两组年龄、孕龄、血压、体质量等一般资料比较差异无统计学意义(P＞0.05).试验组心率显著高于对照组[(123.20±13.23)次/min比(86.17±6.78)次/min],差异有统计学意义(P＜0.01).试验组左心室后壁厚度及二尖瓣反流、三尖瓣反流、主动脉瓣反流发生率显著高于对照组[(10.23±1.30) mm比(8.79±1.90) mm,63.33％(19/30)比16.67％(5/30)、66.67％(20/30)比30.00％(9/30)、26.67％(8/30)比6.67％ (2/30)],左心室后壁运动幅度低于对照组[(8.07±1.00) mm比(9.26±1.71) mm],差异均有统计学意义(P＜ 0.01或＜0.05).试验组左心室收缩和舒张功能参数与对照组比较差异均有统计学意义(P＜ 0.01或＜0.05).结论 围生期窦性心动过速孕妇多合并超声心动图解剖参数及功能参数的改变,及时行超声心动图监测可以提供治疗依据.
目的 分析圍生期竇性心動過速孕婦的超聲心動圖特點併探討其臨床意義.方法 選取住院分娩竇性心動過速孕婦30例(試驗組)和健康孕婦30例(對照組),對比兩組超聲心動圖檢查結果及臨床資料.結果 兩組年齡、孕齡、血壓、體質量等一般資料比較差異無統計學意義(P＞0.05).試驗組心率顯著高于對照組[(123.20±13.23)次/min比(86.17±6.78)次/min],差異有統計學意義(P＜0.01).試驗組左心室後壁厚度及二尖瓣反流、三尖瓣反流、主動脈瓣反流髮生率顯著高于對照組[(10.23±1.30) mm比(8.79±1.90) mm,63.33％(19/30)比16.67％(5/30)、66.67％(20/30)比30.00％(9/30)、26.67％(8/30)比6.67％ (2/30)],左心室後壁運動幅度低于對照組[(8.07±1.00) mm比(9.26±1.71) mm],差異均有統計學意義(P＜ 0.01或＜0.05).試驗組左心室收縮和舒張功能參數與對照組比較差異均有統計學意義(P＜ 0.01或＜0.05).結論 圍生期竇性心動過速孕婦多閤併超聲心動圖解剖參數及功能參數的改變,及時行超聲心動圖鑑測可以提供治療依據.
목적 분석위생기두성심동과속잉부적초성심동도특점병탐토기림상의의.방법 선취주원분면두성심동과속잉부30례(시험조)화건강잉부30례(대조조),대비량조초성심동도검사결과급림상자료.결과 량조년령、잉령、혈압、체질량등일반자료비교차이무통계학의의(P＞0.05).시험조심솔현저고우대조조[(123.20±13.23)차/min비(86.17±6.78)차/min],차이유통계학의의(P＜0.01).시험조좌심실후벽후도급이첨판반류、삼첨판반류、주동맥판반류발생솔현저고우대조조[(10.23±1.30) mm비(8.79±1.90) mm,63.33％(19/30)비16.67％(5/30)、66.67％(20/30)비30.00％(9/30)、26.67％(8/30)비6.67％ (2/30)],좌심실후벽운동폭도저우대조조[(8.07±1.00) mm비(9.26±1.71) mm],차이균유통계학의의(P＜ 0.01혹＜0.05).시험조좌심실수축화서장공능삼수여대조조비교차이균유통계학의의(P＜ 0.01혹＜0.05).결론 위생기두성심동과속잉부다합병초성심동도해부삼수급공능삼수적개변,급시행초성심동도감측가이제공치료의거.
Objective To investigate the characteristic and clinical value of echocardiography in pregnant women with sinus tachycardia.Methods Thirty pregnant women with sinus tachycardia (experiment group) and 30 healthy pregnant women (control group) were selected.The echocardiography results and clinical data were compared between the 2 groups.Results There were no statistical differences in age,gestational age,blood pressure,weight between the 2 groups (P ＞ 0.05).The heart rate in experiment group was significantly higher than that in control group [(123.20 ± 13.23) times/min vs.(86.17 ± 6.78) times/min],there was statistical difference (P ＜ 0.01).The left ventricular posterior wall thickness and the rates of mitral regurgitation,tricuspid regurgitation,aortic regurgitation in experiment group were significantly higher than those in control group [(10.23 ± 1.30) mm vs.(8.79 ± 1.90) mm,63.33％ (19/30) vs.16.67％ (5/30),66.67％(20/30) vs.30.00％(9/30),26.67％(8/30) vs.6.67％(2/30)],the left ventricular posterior wall motion amplitude was significantly lower than that in control group [(8.07 ± 1.00) mm vs.(9.26 ± 1.71) mm],there were statistical differences (P ＜ 0.01 or ＜ 0.05).There were statistical differences in the indexes of left ventricular systolic function and diastolic function between the 2 groups (P ＜0.01 or ＜0.05).Conclusion The anatomical indexes and function indexes of echocardiography in pregnant women with sinus tachycardia are used to change,and the echocardiography in time can provide the basis of treatment.
