中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
94-95
,共2页
心脏超声%高血压%阵发性心房颤动%特征
心髒超聲%高血壓%陣髮性心房顫動%特徵
심장초성%고혈압%진발성심방전동%특정
Cardiac ultrasound%Hypertension%Paroxysmal atrial fibrillation%Features
目的：探讨心脏超声检查高血压合并阵发性心房颤动患者的临床特征。方法：2013年9月-2014年5月收治高血压合并阵发性心房颤动患者50例为治疗组，同时选择同期接受治疗的高血压患者50例为对照组。对两组患者的心脏超声特征进行分析、比较。结果：通过分析、对比两组患者的心脏超声检查结果，治疗组的左心房内径、E/A比值均显著高于对照组，差异有统计学意义(P＜0.05)；两组室间隔/左室后壁没有明显差异，无统计学意义(P＞0.05)；两组左室舒张末期内径没有明显差异，无统计学意义(P＞0.05)。结论：采用心脏超声对高血压合并阵发性心房颤动患者的临床特征进行检查，发现高血压不但会造成患者心脏形态结构的改变，还会使患者的生理状态发生不同程度的变化，存在左心房扩大的形态学重构情况。
目的：探討心髒超聲檢查高血壓閤併陣髮性心房顫動患者的臨床特徵。方法：2013年9月-2014年5月收治高血壓閤併陣髮性心房顫動患者50例為治療組，同時選擇同期接受治療的高血壓患者50例為對照組。對兩組患者的心髒超聲特徵進行分析、比較。結果：通過分析、對比兩組患者的心髒超聲檢查結果，治療組的左心房內徑、E/A比值均顯著高于對照組，差異有統計學意義(P＜0.05)；兩組室間隔/左室後壁沒有明顯差異，無統計學意義(P＞0.05)；兩組左室舒張末期內徑沒有明顯差異，無統計學意義(P＞0.05)。結論：採用心髒超聲對高血壓閤併陣髮性心房顫動患者的臨床特徵進行檢查，髮現高血壓不但會造成患者心髒形態結構的改變，還會使患者的生理狀態髮生不同程度的變化，存在左心房擴大的形態學重構情況。
목적：탐토심장초성검사고혈압합병진발성심방전동환자적림상특정。방법：2013년9월-2014년5월수치고혈압합병진발성심방전동환자50례위치료조，동시선택동기접수치료적고혈압환자50례위대조조。대량조환자적심장초성특정진행분석、비교。결과：통과분석、대비량조환자적심장초성검사결과，치료조적좌심방내경、E/A비치균현저고우대조조，차이유통계학의의(P＜0.05)；량조실간격/좌실후벽몰유명현차이，무통계학의의(P＞0.05)；량조좌실서장말기내경몰유명현차이，무통계학의의(P＞0.05)。결론：채용심장초성대고혈압합병진발성심방전동환자적림상특정진행검사，발현고혈압불단회조성환자심장형태결구적개변，환회사환자적생리상태발생불동정도적변화，존재좌심방확대적형태학중구정황。
Objective:To explore the characteristics of cardiac ultrasonography in patients with hypertension complicated with paroxysmal atrial fibrillation.Methods:50 patients with hypertension complicated with paroxysmal atrial fibrillation were selected from September 2013 to May 2014 as the treatment group.At the same time,50 hypertension patients were selected as the control group.We compared echocardiography characteristics of two groups.Results:By analysis and comparison of two groups of patients with heart ultrasound results,in the treatment group,the diameter of left atrium of patients and the ratio of E/A were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).The interventricular septum/left ventricular posterior wall of two groups was not significantly different,and there was no statistical significance(P>0.05).The left ventricular end diastolic diameter of two groups was not obvious difference,and there was no statistical significance(P>0.05). Conclusion:We used cardiac ultrasound to check the clinical characteristics of the patients with hypertension complicated with paroxysmal atrial fibrillation.The results showed that hypertension would not only result in cardiac structure change of patients, but still could make the patient's physiological status change in different degrees,with the existence of morphological remodeling of left atrial enlargement.
