中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
168-169
,共2页
心脏彩超%多病因%慢性心力衰竭
心髒綵超%多病因%慢性心力衰竭
심장채초%다병인%만성심력쇠갈
Echocardiography%Multiple etiology%Chronic heart failure
目的：探讨彩色多普勒超声诊断仪在诊断多病因的慢性心力衰竭病症时的临床作用与意义。方法整群选取该院2013年3月-2014年8月收治的99例诊断为多病因慢性心力衰竭患者，用心脏彩超设备进行检查，记录左室射血的分数（LVEF）和左心室舒张末期的内径(LVDd）以及左心房的内径(LVD），并±据耘云值随机分为正常组和降低组，对比分析该两组患者治疗前后的LVEF值变化情况。结果正常组全部患者在治疗前所测左心室射血分数为（62.24±13.26）%，降低组的左心室射血分数为（33.51±12.79）%，两组患者在治疗前差异有统计学意义（P<0.05）；降低组全部患者在经过治疗以后所测量左心室射血分数是（55.21±7.48）%，与治疗前相比较，差异有统计学意义（P<0.05）。结论用彩色多普勒超声诊断仪所检查左室射血的分数对于多病因的心力衰竭病症诊断不具备特异性，不能单一的作为确诊病症标准，但是可以作为一项此病临床治疗过程中重要可信的监测指标。
目的：探討綵色多普勒超聲診斷儀在診斷多病因的慢性心力衰竭病癥時的臨床作用與意義。方法整群選取該院2013年3月-2014年8月收治的99例診斷為多病因慢性心力衰竭患者，用心髒綵超設備進行檢查，記錄左室射血的分數（LVEF）和左心室舒張末期的內徑(LVDd）以及左心房的內徑(LVD），併±據耘雲值隨機分為正常組和降低組，對比分析該兩組患者治療前後的LVEF值變化情況。結果正常組全部患者在治療前所測左心室射血分數為（62.24±13.26）%，降低組的左心室射血分數為（33.51±12.79）%，兩組患者在治療前差異有統計學意義（P<0.05）；降低組全部患者在經過治療以後所測量左心室射血分數是（55.21±7.48）%，與治療前相比較，差異有統計學意義（P<0.05）。結論用綵色多普勒超聲診斷儀所檢查左室射血的分數對于多病因的心力衰竭病癥診斷不具備特異性，不能單一的作為確診病癥標準，但是可以作為一項此病臨床治療過程中重要可信的鑑測指標。
목적：탐토채색다보륵초성진단의재진단다병인적만성심력쇠갈병증시적림상작용여의의。방법정군선취해원2013년3월-2014년8월수치적99례진단위다병인만성심력쇠갈환자，용심장채초설비진행검사，기록좌실사혈적분수（LVEF）화좌심실서장말기적내경(LVDd）이급좌심방적내경(LVD），병±거운운치수궤분위정상조화강저조，대비분석해량조환자치료전후적LVEF치변화정황。결과정상조전부환자재치료전소측좌심실사혈분수위（62.24±13.26）%，강저조적좌심실사혈분수위（33.51±12.79）%，량조환자재치료전차이유통계학의의（P<0.05）；강저조전부환자재경과치료이후소측량좌심실사혈분수시（55.21±7.48）%，여치료전상비교，차이유통계학의의（P<0.05）。결론용채색다보륵초성진단의소검사좌실사혈적분수대우다병인적심력쇠갈병증진단불구비특이성，불능단일적작위학진병증표준，단시가이작위일항차병림상치료과정중중요가신적감측지표。
Objective To investigate the clinical effect and significance of ultrasound diagnostic equipment in the diagnosis of chronic heart failure with multiple etiology. Methods Selected 99 patients diagnosed as chronic heart failure with multiple etiology in our hospital from 2013 March to 2014 August. Inspected them with heart ultrasound equipment, and record left ventricular ejec-tion fraction records (LVEF) and left ventricular end diastolic diameter (LVDd) and diameter of left atrium (LVD). According to the EF value, these patients were randomly divided into the normal group and the lower group. Compared the changes of LVEF value of the patients in two groups before and after treatment. Results The LVEF of patients in normal group were (62.24±13.26)%be-fore treatment, while that of lower group was (33.51±12.79)%, and there were differences between the two groups before treatment (P<0.05), with statistical significance. The LVEF of patients in lower group after treatment was (55.21 ± 7.48)%, compared with that before treatment, the differences were statistically significant (P<0.05). Conclusion Using color Doppler ultrasound diagnostic equipment to inspect LVEF has no specificity for the diagnosis of heart failure with multiple etiology, so it cannot use as the only diagnosis standard, but can be trusted as an important monitoring index in the clinical treatment of this disease .
