中华劳动卫生职业病杂志
中華勞動衛生職業病雜誌
중화노동위생직업병잡지
CHINESE JOURNAL OF INDUSTRIAL HYGIENE AND OCCUPATIONAL DISEASES
2015年
5期
382-384
,共3页
石耀辉%陈百灵%刘雪梅%李金珠%于珊珊%冯克玉%丁红
石耀輝%陳百靈%劉雪梅%李金珠%于珊珊%馮剋玉%丁紅
석요휘%진백령%류설매%리금주%우산산%풍극옥%정홍
尘肺%肺功能试验%三尖瓣环收缩期位移
塵肺%肺功能試驗%三尖瓣環收縮期位移
진폐%폐공능시험%삼첨판배수축기위이
Pneumoconiosis%Pulmonary function test%Tricuspid annular plane systolic excursion
目的 用M型超声心动图技术测量三尖瓣环收缩期位移(TAPSE),评价尘肺患者右心室收缩功能.方法 尘肺组病例183例,正常健康对照组199例;根据肺功能通气损害的性质分为正常型、阻塞型、限制型、混合型4组.取心尖四腔切面,用M型超声心动图测量三尖瓣环右心室游离壁侧从舒张期至收缩末期的位移.结果 尘肺组TAPSE均值为(18.61±3.08) mm,对照组TAPSE均值为(22.38±3.03) mm,尘肺组TAPSE明显低于对照组,差异有统计学意义(P<0.01).随Ⅰ、Ⅱ、Ⅲ期尘肺病变程度的加重TAPSE明显缩短,与对照组比较,差异有统计学意义(P<0.01).肺功能检测为正常型、阻塞型、限制型、混合型肺功能损伤尘肺患者的TAPSE均明显低于对照组,其中以混合型缩短最明显,差异均有统计学意义(P<0.01).结论 尘肺患者TAPSE值明显缩短,随尘肺分期加重而明显缩短,TAPSE的测量评价尘肺患者右心室收缩功能状态简便方法.
目的 用M型超聲心動圖技術測量三尖瓣環收縮期位移(TAPSE),評價塵肺患者右心室收縮功能.方法 塵肺組病例183例,正常健康對照組199例;根據肺功能通氣損害的性質分為正常型、阻塞型、限製型、混閤型4組.取心尖四腔切麵,用M型超聲心動圖測量三尖瓣環右心室遊離壁側從舒張期至收縮末期的位移.結果 塵肺組TAPSE均值為(18.61±3.08) mm,對照組TAPSE均值為(22.38±3.03) mm,塵肺組TAPSE明顯低于對照組,差異有統計學意義(P<0.01).隨Ⅰ、Ⅱ、Ⅲ期塵肺病變程度的加重TAPSE明顯縮短,與對照組比較,差異有統計學意義(P<0.01).肺功能檢測為正常型、阻塞型、限製型、混閤型肺功能損傷塵肺患者的TAPSE均明顯低于對照組,其中以混閤型縮短最明顯,差異均有統計學意義(P<0.01).結論 塵肺患者TAPSE值明顯縮短,隨塵肺分期加重而明顯縮短,TAPSE的測量評價塵肺患者右心室收縮功能狀態簡便方法.
목적 용M형초성심동도기술측량삼첨판배수축기위이(TAPSE),평개진폐환자우심실수축공능.방법 진폐조병례183례,정상건강대조조199례;근거폐공능통기손해적성질분위정상형、조새형、한제형、혼합형4조.취심첨사강절면,용M형초성심동도측량삼첨판배우심실유리벽측종서장기지수축말기적위이.결과 진폐조TAPSE균치위(18.61±3.08) mm,대조조TAPSE균치위(22.38±3.03) mm,진폐조TAPSE명현저우대조조,차이유통계학의의(P<0.01).수Ⅰ、Ⅱ、Ⅲ기진폐병변정도적가중TAPSE명현축단,여대조조비교,차이유통계학의의(P<0.01).폐공능검측위정상형、조새형、한제형、혼합형폐공능손상진폐환자적TAPSE균명현저우대조조,기중이혼합형축단최명현,차이균유통계학의의(P<0.01).결론 진폐환자TAPSE치명현축단,수진폐분기가중이명현축단,TAPSE적측량평개진폐환자우심실수축공능상태간편방법.
Objective To determine the tricuspid annular plane systolic excursion (TAPSE) using M-mode echocardiography,and to evaluate the right ventricular systolic function in patients with pneumoconiosis.Methods One hundred and eighty-three patients with pneumoconiosis were enrolled as subjects,and one hundred and ninety-nine healthy volunteers were used as controls.According to the types of ventilation dysfunction,patients were divided into four groups:normal type,obstructive type,restrictive type,and mixed type.In the apex four-chamber sections,the displacement of tricuspid annular plane on the right ventricular free wall side was measured from end-diastole to end-systole using M-mode echocardiography.Results The average TAPSE in the pneumoconiosis group was significantly lower than that in the control group (18.61±3.08 vs 22.38±3.03 mm,P<0.01).Along with the progression of pneumoconiosis,the TAPSE values in patients with stage Ⅰ,Ⅱ,and Ⅲ pneumoconiosis were significantly decreased compared with those in the control group (P< 0.01).The TAPSE values in patients diagnosed with normal,obstructive,restrictive,and mixed types of pneumoconiosis in pulmonary function tests were all significantly lower than those in the control group (P< 0.01).Among all patients,patients with mixed type of pneumoconiosis had the most significant reduction in the TAPSE.Conclusion The TAPSE is substantially decreased in patients with pneumoconiosis and further decreased along with the progression of pneumoconiosis.Measurement of the TAPSE is an easy way to evaluate the right ventricular systolic function in patients with pneumoconiosis.