超声心动图在肺栓塞患者治疗前后右心功能评估中的价值研究

发布时间：2018-01-05 13:21

本文关键词：超声心动图在肺栓塞患者治疗前后右心功能评估中的价值研究　出处：《重庆医学》2017年16期 　论文类型：期刊论文

【摘要】：目的探讨超声心动图在肺栓塞患者治疗前后右心功能评估中的价值。方法选择2014年6月至2015年12月该院96例肺栓塞患者作为研究对象,根据病情危害程度分为低危组、中危组和高危组。所有患者于治疗前及治疗后14d进行超声心动图检查。结果肺栓塞低危组患者治疗后肺动脉收缩压低于治疗前(P0.05),肺栓塞中危组和高危组患者治疗后右心房横径、右心室横径和肺动脉收缩压均低于治疗前(P0.05);肺栓塞低危组、中危组和高危组患者治疗后Tei指数均低于治疗前(P0.05)。肺栓塞低危组患者治疗前后右心室射血分数(RVEF)、收缩末期容积(RVESV)、舒张末期容积(RVEDV)比较差异均无统计学意义(P0.05);中危组和高危组患者治疗后RVEF均高于治疗前(P0.05),治疗后RVESV和RVEDV均低于治疗前(P0.05)。结论超声心动图能够客观反映肺栓塞患者治疗前后右心功能的变化情况,可以作为肺栓塞治疗效果的评价方法。
[Abstract]:Objective to evaluate the value of echocardiography in evaluating right ventricular function in patients with pulmonary embolism before and after treatment. Methods 96 patients with pulmonary embolism were selected from June 2014 to December 2015. According to the severity of the disease, it was divided into low risk group. All patients were examined by echocardiography before and 14 days after treatment. Results Pulmonary artery systolic pressure in low risk group was lower than that before treatment (P 0.05). The transverse diameter of right atrium, the transverse diameter of right ventricle and the systolic pressure of pulmonary artery were lower in risk group and high risk group than those before treatment (P 0.05). The Tei index of patients in low risk group, middle risk group and high risk group was lower than that before treatment (P 0.05). Right ventricular ejection fraction (RVEF) in low risk group of pulmonary embolism before and after treatment was lower than that in control group (P < 0.05). There was no significant difference in the end systolic volume (RV) and the end diastolic volume (RV) between the two groups (P 0.05). The RVEF of patients in middle risk group and high risk group was higher than that before treatment (P 0.05). Conclusion Echocardiography can objectively reflect the changes of right ventricular function in patients with pulmonary embolism before and after treatment. It can be used to evaluate the effect of pulmonary embolism.
【作者单位】：浙江省东阳市人民医院超声科;
【基金】：浙江省医药卫生一般研究计划项目(2014KYA221)
【分类号】：R540.45;R563.5
【正文快照】： 肺栓塞是临床上常见病、多发病,其临床表现比较复杂,轻度肺栓塞可没有临床症状,仅在查体时发现,或者只有短暂呼吸困难症状;重度肺栓塞可出现急性心源性休克,或出现心室颤动而猝死,因此准确识别高危、严重肺栓塞患者,并进行及时有效的治疗是临床医生面临的极其重要的问题。由于

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