CAJ | 학술논문

目的：对老年性心脏瓣膜病的超声心动图特点进行探讨，以提高超声诊断的准确率。方法随机选取2011年1月-2014年12月该院接收的50例老年性心脏瓣膜病患者，为实验组，再选取同时间段内来该院健康体检的无老年性心脏瓣膜病患者，为对照组，比较两组患者的超声心动图影像资料，以准确掌握老年性心脏瓣膜病的超声心动图特点。结果实验组患者除左室舒张功能降低检出率之外，其余检出率均与对照组之间差异有统计学意义(P<0.05)。联合瓣膜的发生率受到患者年龄增加的影响，患病风险增加。实验组患者的老年心血管疾病与老年病的发病率明显高于对照组，差异无统计学意义(P>0.05)。其病因危险性从大到小依次是年龄增加、高血压、高胆固醇等。结论由于老年性心脏瓣膜病的早期症状不典型，因此漏诊率较高。在超声诊断检查中，能够及时发现患者存在的心脏大小、心功能以及瓣膜受损等异常情况，尽早进行有效治疗，延缓患者病情的发展。
목적：대노년성심장판막병적초성심동도특점진행탐토，이제고초성진단적준학솔。방법수궤선취2011년1월-2014년12월해원접수적50례노년성심장판막병환자，위실험조，재선취동시간단내래해원건강체검적무노년성심장판막병환자，위대조조，비교량조환자적초성심동도영상자료，이준학장악노년성심장판막병적초성심동도특점。결과실험조환자제좌실서장공능강저검출솔지외，기여검출솔균여대조조지간차이유통계학의의(P<0.05)。연합판막적발생솔수도환자년령증가적영향，환병풍험증가。실험조환자적노년심혈관질병여노년병적발병솔명현고우대조조，차이무통계학의의(P>0.05)。기병인위험성종대도소의차시년령증가、고혈압、고담고순등。결론유우노년성심장판막병적조기증상불전형，인차루진솔교고。재초성진단검사중，능구급시발현환자존재적심장대소、심공능이급판막수손등이상정황，진조진행유효치료，연완환자병정적발전。
Objective To discuss the characteristics of echocardiography in diagnosis of senile cardiac valvular disease so as to im-prove the accuracy. Methods 50 patients with senile cardiac valvular disease and 50 patients without senile cardiac valvular dis-ease confirmed by health examinations, all of whom were admitted to our hospital between January 2011 and December 2011, were selected as the experimental group and the control group, respectively. In order to accurately grasp the echocardiographic charac-teristics of senile heart valve disease, we compared the echocardiographic image data.Results Except the detection rate of the left ventricular diastolic function, the rest detection rates of the experimental group were significantly different with whose of the con-trol group significantly (P<0.05).The incidence of joint valve was affected by the age, and the risk increased with the increasing of the age. The incidence of cardiovascular disease and senile diseases of the experimental group was significantly higher than that of the control group, with statistical significance (P>0.05).Etiology risk from big to small in turn was increasing age, high blood pres-sure, high cholesterol, etc. Conclusion Because the early symptoms of senile heart valve disease is not typical, so missed diagnosis is high. Using ultrasonic examination in the diagnosis of senile cardiac valvular disease, we can timely found the abnormal condi-tions, such as change of valve size and cardiac function and damage of heart valves, and undergo effective treatment as soon as possible so as to ease the disease.