中国中西医结合影像学杂志
中國中西醫結閤影像學雜誌
중국중서의결합영상학잡지
CHINESE IMAGING JOURNAL OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2015年
4期
389-392
,共4页
超声心动描记术%肺疾病,慢性阻塞性%心室功能,右
超聲心動描記術%肺疾病,慢性阻塞性%心室功能,右
초성심동묘기술%폐질병,만성조새성%심실공능,우
Echocardiography%Pulmonary disease,chronic obstructive%Ventricular function,right
目的：应用美国超声心动图学会推荐的右心功能超声指标评估稳定期慢性阻塞性肺疾病的右心功能，并寻找一个可靠敏感指标运用于常规检查中。方法：64例轻中度慢性阻塞性肺疾病患者，按照严重程度分为肺功能Ⅱ级29例，Ⅲ级35例；另选择33例同期健康体检者作为对照组，3组无年龄及性别差异。测量3组19项指标，探讨慢性阻塞性肺疾病Ⅱ级、Ⅲ级同健康成人之间的差异性。结果：右室流出道（RVOT）近端内径对照组（29.08±2.12）mm，肺功能Ⅱ级（31.04±2.95）mm，Ⅲ级（32.00±3.45）mm，对照组与肺功能Ⅱ、Ⅲ级比较差异均有统计学意义（均 P<0.05）；右室基底径对照组（31.15±4.83）mm，肺功能Ⅱ级（33.86±3.75）mm，Ⅲ级（34.06±4.41）mm，对照组与肺功能Ⅱ、Ⅲ级比较差异均有统计学意义（均P<0.05）；右室壁厚度对照组（4.53±0.50）mm，肺功能Ⅱ级（5.15±1.07）mm，Ⅲ级（5.27±0.91）mm，对照组与肺功能Ⅱ、Ⅲ级比较差异均有统计学意义（均P<0.05）；下腔静脉塌陷率对照组（56.23±4.23）%，肺功能Ⅱ级（31.51±10.13）%，Ⅲ级（28.25±11.01）%，对照组与肺功能Ⅱ、Ⅲ级比较差异均有统计学意义（均P<0.05）；组织多普勒三尖瓣侧壁部瓣环收缩期峰值流速（S’）对照组（10.74±1.08）cm·s-1，肺功能Ⅱ级（9.62±1.37）cm·s-1，Ⅲ级（9.24±0.91）cm·s-1，对照组与肺功能Ⅱ、Ⅲ级比较差异均有统计学意义（均P<0.05）；3组间E/A、Tei指数差异均有统计学意义（对照组1.53±0.25、肺功能Ⅱ级0.93±0.28、Ⅲ级0.65±0.20；对照组0.46±0.14、肺功能Ⅱ级0.54±0.87、Ⅲ级0.63±0.14；均P<0.05）。结论：随着肺功能的恶化，右心功能减低，Tei指数和S’能够较敏感地反映右心功能。
目的：應用美國超聲心動圖學會推薦的右心功能超聲指標評估穩定期慢性阻塞性肺疾病的右心功能，併尋找一箇可靠敏感指標運用于常規檢查中。方法：64例輕中度慢性阻塞性肺疾病患者，按照嚴重程度分為肺功能Ⅱ級29例，Ⅲ級35例；另選擇33例同期健康體檢者作為對照組，3組無年齡及性彆差異。測量3組19項指標，探討慢性阻塞性肺疾病Ⅱ級、Ⅲ級同健康成人之間的差異性。結果：右室流齣道（RVOT）近耑內徑對照組（29.08±2.12）mm，肺功能Ⅱ級（31.04±2.95）mm，Ⅲ級（32.00±3.45）mm，對照組與肺功能Ⅱ、Ⅲ級比較差異均有統計學意義（均 P<0.05）；右室基底徑對照組（31.15±4.83）mm，肺功能Ⅱ級（33.86±3.75）mm，Ⅲ級（34.06±4.41）mm，對照組與肺功能Ⅱ、Ⅲ級比較差異均有統計學意義（均P<0.05）；右室壁厚度對照組（4.53±0.50）mm，肺功能Ⅱ級（5.15±1.07）mm，Ⅲ級（5.27±0.91）mm，對照組與肺功能Ⅱ、Ⅲ級比較差異均有統計學意義（均P<0.05）；下腔靜脈塌陷率對照組（56.23±4.23）%，肺功能Ⅱ級（31.51±10.13）%，Ⅲ級（28.25±11.01）%，對照組與肺功能Ⅱ、Ⅲ級比較差異均有統計學意義（均P<0.05）；組織多普勒三尖瓣側壁部瓣環收縮期峰值流速（S’）對照組（10.74±1.08）cm·s-1，肺功能Ⅱ級（9.62±1.37）cm·s-1，Ⅲ級（9.24±0.91）cm·s-1，對照組與肺功能Ⅱ、Ⅲ級比較差異均有統計學意義（均P<0.05）；3組間E/A、Tei指數差異均有統計學意義（對照組1.53±0.25、肺功能Ⅱ級0.93±0.28、Ⅲ級0.65±0.20；對照組0.46±0.14、肺功能Ⅱ級0.54±0.87、Ⅲ級0.63±0.14；均P<0.05）。結論：隨著肺功能的噁化，右心功能減低，Tei指數和S’能夠較敏感地反映右心功能。
목적：응용미국초성심동도학회추천적우심공능초성지표평고은정기만성조새성폐질병적우심공능，병심조일개가고민감지표운용우상규검사중。방법：64례경중도만성조새성폐질병환자，안조엄중정도분위폐공능Ⅱ급29례，Ⅲ급35례；령선택33례동기건강체검자작위대조조，3조무년령급성별차이。측량3조19항지표，탐토만성조새성폐질병Ⅱ급、Ⅲ급동건강성인지간적차이성。결과：우실류출도（RVOT）근단내경대조조（29.08±2.12）mm，폐공능Ⅱ급（31.04±2.95）mm，Ⅲ급（32.00±3.45）mm，대조조여폐공능Ⅱ、Ⅲ급비교차이균유통계학의의（균 P<0.05）；우실기저경대조조（31.15±4.83）mm，폐공능Ⅱ급（33.86±3.75）mm，Ⅲ급（34.06±4.41）mm，대조조여폐공능Ⅱ、Ⅲ급비교차이균유통계학의의（균P<0.05）；우실벽후도대조조（4.53±0.50）mm，폐공능Ⅱ급（5.15±1.07）mm，Ⅲ급（5.27±0.91）mm，대조조여폐공능Ⅱ、Ⅲ급비교차이균유통계학의의（균P<0.05）；하강정맥탑함솔대조조（56.23±4.23）%，폐공능Ⅱ급（31.51±10.13）%，Ⅲ급（28.25±11.01）%，대조조여폐공능Ⅱ、Ⅲ급비교차이균유통계학의의（균P<0.05）；조직다보륵삼첨판측벽부판배수축기봉치류속（S’）대조조（10.74±1.08）cm·s-1，폐공능Ⅱ급（9.62±1.37）cm·s-1，Ⅲ급（9.24±0.91）cm·s-1，대조조여폐공능Ⅱ、Ⅲ급비교차이균유통계학의의（균P<0.05）；3조간E/A、Tei지수차이균유통계학의의（대조조1.53±0.25、폐공능Ⅱ급0.93±0.28、Ⅲ급0.65±0.20；대조조0.46±0.14、폐공능Ⅱ급0.54±0.87、Ⅲ급0.63±0.14；균P<0.05）。결론：수착폐공능적악화，우심공능감저，Tei지수화S’능구교민감지반영우심공능。
Objective:To evaluate the right ventricular ( RV ) function in patients with stable chronic obstructive pulmonary disease (COPD) using the parameters recommended by the American Society of Echocardiography (ASE),and try to find out sensitive parameters in clinical practice. Methods:A total of 64 patients with stable COPD were selected and staged by pul-monary function test (PFT),of which 29 were in stage Ⅱ,35 were in stage Ⅲ. And 33 healthy volunteers with age and gender matched were as controls. Routine transthoracic echocardiography study was performed on all patients and 19 parameters were measured in order to compare the differences of the parameters among the three groups. Results:RVOT PLAX proximal di-ameter,RV basal diameter,end-diastolic RV wall thickness,S’ of control group had significant differences than that of stage Ⅱand Ⅲ [(29.08±2.12)mm vs. (31.04±2.95)mm and (32.00±3.45)mm,P<0.05;(31.15±4.83)mm vs. (33.86±3.75)mm and (34.06±4.41)mm,P<0.05;(4.53±0.50)mm vs. (5.15±1.07)mm and (5.27±0.91)mm,P<0.05;(10.74±1.08)cm·s-1 vs. (9.62± 1.37)cm·s-1 and (9.24±0.91),respectively,P<0.05]. IVC diameter collapse in control group was significantly lower than that in stage Ⅱ and Ⅲ [(56.23±4.23)% vs. (31.51±10.13)% and (28.25±11.01)%,respectively,all P<0.05]. E/A,Tei in the three groups were significantly different [(1.53±0.25),(0.93±0.28) and (0.65±0.20);(0.46±0.14),(0.54±0.87) and (0.63±0.14),respective-ly,all P<0.05]. Conclusions:With the deterioration of lung function in COPD patients,the right heart function getting worse and worse. Tei and S’ are sensitive parameters for clinical practice.
