CAJ | 학술논문

目的：分析应用彩色多普勒联合多巴酚丁胺负荷诊断无症状心肌缺血患者护理效果。方法选取2013年2月至2015年2月在我院自愿接受检查的体检者为研究对象，其中无症状心肌缺血患者82例为观察组、另选择同期检查的正常健康人82例为对照组。两组均采用美国GE公司的GE730型彩色超声诊断仪联合多巴酚丁胺诊断。对比两组负荷下的Ve值（峰值舒张早期充盈速度）、Va值（峰值舒张晚期充盈速度）及RIVRT（ e峰减速时间、等容舒张时间） LVEF值（左室射血分数）。观察组进行护理配合，对比护理前后的满意度及心理状况。结果观察组RIVRT值为（74．25±16．63） ms，LVEF值为（57．03±4．54）‰，与对照组比较有明显差别（均P＜0．05）。观察组Ve值及Ve／Va值均明显低于对照组（均P＜0．05）。护理后非常满意患者占比54．88％（45／82），总满意率为8．54％（7／82），均显著高于护理后（均P＜0．05）。护理后的HAMA评分为（12．1±9．7）分，HAMD评分为（11．4±6．7）分，均明显低于护理前（均P＜0．05）。结论应用彩色多普勒联合多巴酚丁胺负荷可明确评价无症状心肌缺血患者的左室舒张功能。在护理的配合下不仅可提高患者对医务人员的满意度，还可消除患者的焦虑感、紧张感，大大提高患者的治疗依从性。
목적：분석응용채색다보륵연합다파분정알부하진단무증상심기결혈환자호리효과。방법선취2013년2월지2015년2월재아원자원접수검사적체검자위연구대상，기중무증상심기결혈환자82례위관찰조、령선택동기검사적정상건강인82례위대조조。량조균채용미국GE공사적GE730형채색초성진단의연합다파분정알진단。대비량조부하하적Ve치（봉치서장조기충영속도）、Va치（봉치서장만기충영속도）급RIVRT（ e봉감속시간、등용서장시간） LVEF치（좌실사혈분수）。관찰조진행호리배합，대비호리전후적만의도급심리상황。결과관찰조RIVRT치위（74．25±16．63） ms，LVEF치위（57．03±4．54）‰，여대조조비교유명현차별（균P＜0．05）。관찰조Ve치급Ve／Va치균명현저우대조조（균P＜0．05）。호리후비상만의환자점비54．88％（45／82），총만의솔위8．54％（7／82），균현저고우호리후（균P＜0．05）。호리후적HAMA평분위（12．1±9．7）분，HAMD평분위（11．4±6．7）분，균명현저우호리전（균P＜0．05）。결론응용채색다보륵연합다파분정알부하가명학평개무증상심기결혈환자적좌실서장공능。재호리적배합하불부가제고환자대의무인원적만의도，환가소제환자적초필감、긴장감，대대제고환자적치료의종성。
Objective To analyze the nursing effect during the application of color Doppler combined with dobutamine stress echocardiography in diagnosing myocardial ischemia symptoms .Methods From February 2013 to February 2015, patients who accepted voluntary examination in our hospital as the research object , the 82 cases of patients with silent myocardial ischemia in the observation group , another 82 cases of healthy people over the same period examination as control group .The diagnosis was done by using dobutamine combined with type GE730 color ultrasonic diagnostic apparatus applied by America GE Company .Compared the two groups of load value of Ve ( peak early diastolic velocity ( Va ) , peak late diastolic filling velocity ( E ) and RIVRT peak deceleration time, isovolumetric relaxation time (LVEF) values of left ventricular ejection fraction ).In addition, the nursing satisfaction and mental health of observation group were compared before and after care .Results In the observation group, RIVRT value was (74.25 ±16.63) ms, LVEF was (57.03 ±4.54)%, there was significant difference when compared with the control group (all P <0.05).After loading, Ve value and Ve/Va value of the observation group were significantly lower than the control group (all P<0.05).The patients those were very satisfied with the nursing accounted for 54.88% (45/82), the total satisfactory rate was 8.54% (7/82), which were significantly higher than that before nursing (all P<0.05).HAMA score after nursing was (12.1 ±9.7) points, HAMD score was (11.4 ±6.7), which were significantly lower than that before treatment . The differences were statistically significant ( all P <0.05).Conclusions The application of color Doppler combined with dobutamine can clearly assess left ventricular diastolic function of patients with myocardial ischemia.In the nursing cooperation , not only can improve the patients'satisfaction of the medical staff , but also can eliminate patient anxiety , tension, improve the treatment compliance of patients .