中国医学影像学杂志
中國醫學影像學雜誌
중국의학영상학잡지
CHINESE JOURNAL OF MEDICAL IMAGING
2015年
6期
439-443,448
,共6页
高磊%刘昕%郭淑芹%李春擎
高磊%劉昕%郭淑芹%李春擎
고뢰%류흔%곽숙근%리춘경
糖尿病,2 型%血糖%超声心动描记术,三维%斑点追踪成像%心室功能,左
糖尿病,2 型%血糖%超聲心動描記術,三維%斑點追蹤成像%心室功能,左
당뇨병,2 형%혈당%초성심동묘기술,삼유%반점추종성상%심실공능,좌
Diabetes mellitus,type 2%Blood glucose%Echocardiography,three-dimensional%Speckle tracking imaging%Ventricular function,left
目的应用实时三维超声斑点追踪成像(RT3D-STI)技术,评价2型糖尿病血糖控制不良患者左心室各三维应变的改变及其与糖化血红蛋白(HbA1c)的相关性。资料与方法收集经临床确诊为2型糖尿病的69例患者,同时选取42例健康志愿者作为对照组,根据 HbA1c 值(HbA1c ≥6.5%)将病例组分为血糖控制良好组(DM1组)33例和血糖控制不良组(DM2组)36例。应用 RT3D-STI 采集心尖全容积图像得出两组左心室整体长轴应变(GLS)、左心室整体轴向应变(GCS)、左心室整体径向应变(GRS)、左心室整体面积应变(GAS)、左心室射血分数(LVEF)、左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)及左心室质量(LVM)等参数,分析3组 RT3D-SRI 技术评价左心室各三维应变指标的改变及其与 HbA1c的相关性。结果 DM1组 GAS、GLS、GCS、GRS、LVEDV、LVESV、LVM、LVEF与对照组比较,差异均无统计学意义(P>0.05)。DM2组 LVM 较对照组增加(P<0.01), GAS、GLS 较对照组减低(P<0.05)。DM2组 LVM 较 DM1组增加(P<0.01), GAS、GLS 较 DM1组减低(P<0.01)。GAS、GLS 与 HbA1c 呈负相关(r=-0.773、-0.465, P<0.01)。结论2型糖尿病血糖控制不良患者 GAS、GLS 减低提示心肌功能受损。
目的應用實時三維超聲斑點追蹤成像(RT3D-STI)技術,評價2型糖尿病血糖控製不良患者左心室各三維應變的改變及其與糖化血紅蛋白(HbA1c)的相關性。資料與方法收集經臨床確診為2型糖尿病的69例患者,同時選取42例健康誌願者作為對照組,根據 HbA1c 值(HbA1c ≥6.5%)將病例組分為血糖控製良好組(DM1組)33例和血糖控製不良組(DM2組)36例。應用 RT3D-STI 採集心尖全容積圖像得齣兩組左心室整體長軸應變(GLS)、左心室整體軸嚮應變(GCS)、左心室整體徑嚮應變(GRS)、左心室整體麵積應變(GAS)、左心室射血分數(LVEF)、左心室舒張末期容積(LVEDV)、左心室收縮末期容積(LVESV)及左心室質量(LVM)等參數,分析3組 RT3D-SRI 技術評價左心室各三維應變指標的改變及其與 HbA1c的相關性。結果 DM1組 GAS、GLS、GCS、GRS、LVEDV、LVESV、LVM、LVEF與對照組比較,差異均無統計學意義(P>0.05)。DM2組 LVM 較對照組增加(P<0.01), GAS、GLS 較對照組減低(P<0.05)。DM2組 LVM 較 DM1組增加(P<0.01), GAS、GLS 較 DM1組減低(P<0.01)。GAS、GLS 與 HbA1c 呈負相關(r=-0.773、-0.465, P<0.01)。結論2型糖尿病血糖控製不良患者 GAS、GLS 減低提示心肌功能受損。
목적응용실시삼유초성반점추종성상(RT3D-STI)기술,평개2형당뇨병혈당공제불량환자좌심실각삼유응변적개변급기여당화혈홍단백(HbA1c)적상관성。자료여방법수집경림상학진위2형당뇨병적69례환자,동시선취42례건강지원자작위대조조,근거 HbA1c 치(HbA1c ≥6.5%)장병례조분위혈당공제량호조(DM1조)33례화혈당공제불량조(DM2조)36례。응용 RT3D-STI 채집심첨전용적도상득출량조좌심실정체장축응변(GLS)、좌심실정체축향응변(GCS)、좌심실정체경향응변(GRS)、좌심실정체면적응변(GAS)、좌심실사혈분수(LVEF)、좌심실서장말기용적(LVEDV)、좌심실수축말기용적(LVESV)급좌심실질량(LVM)등삼수,분석3조 RT3D-SRI 기술평개좌심실각삼유응변지표적개변급기여 HbA1c적상관성。결과 DM1조 GAS、GLS、GCS、GRS、LVEDV、LVESV、LVM、LVEF여대조조비교,차이균무통계학의의(P>0.05)。DM2조 LVM 교대조조증가(P<0.01), GAS、GLS 교대조조감저(P<0.05)。DM2조 LVM 교 DM1조증가(P<0.01), GAS、GLS 교 DM1조감저(P<0.01)。GAS、GLS 여 HbA1c 정부상관(r=-0.773、-0.465, P<0.01)。결론2형당뇨병혈당공제불량환자 GAS、GLS 감저제시심기공능수손。
Purpose To evaluate three-dimensional strain changes of the left ventricle in patients with type 2 diabetes and poor blood glucose control using real-time three-dimensional speckle tracking imaging (RT3D-STI), and to assess the correlation between three-dimensional strains and hemoglobin A1C (HbA1c). Materials and Methods Sixty-nine patients with type 2 diabetes and forty-two control subjects were recruited in this study. The patients were divided into DM1 group (patients with well blood glucose control, HbA1c<6.5%) and DM2 group (patients with poor blood glucose control, HbA1c ≥ 6.5%) according to the glycosylated hemoglobin level. Parameters including global longitudinal strain (GLS), global circumferential strain (GCS), global radial strain (GRS), global area strain (GAS), left ventricular ejection fraction (LVEF), left ventricular end-diastolic volume (LVEDV), left ventricular end-systolic volume (LVESV) and left ventricular mass (LVM) were obtained from cardiac apex full volume images by using RT3D-STI. The parameters of three groups were compared, and the correlation between the cardiac parameters and HbA1c were analyzed. Results The GAS, GLS, GCS, GRS, LVEDV, LVESV, LVM and LVEF showed no statistic difference between DM1 group and control group (P>0.05). LVM of DM2 group was higher than that in control group (P<0.01), but GAS and GLS of DM2 group were lower than those in control group (P<0.05). LVM of DM2 group was higher than that in DM1 group (P<0.01), but GAS and GLS of DM2 group were lower than those in DM1 group (P<0.01). HbA1c was negative correlated with GAS and GLS (r= - 0.773 and 0.465, P<0.01). Conclusion The reduced GAS and GLS of the patients with type 2 diabetes and poor blood glucose control may indicate damaged myocardial function.