妊娠晚期PCOS患者左心室功能观察

发布时间：2018-05-31 02:16

本文选题：多囊卵巢综合征 + 心脏功能　；参考：《山东医药》2017年03期

【摘要】：目的观察多囊卵巢综合征(PCOS)患者妊娠晚期左心室功能变化。方法选择116例孕前确诊PCOS的妊娠晚期孕妇纳入病例组,选择128例健康孕妇纳入对照组。常规超声检查测定两组左心室功能指标,其中收缩功能指标包括左心室舒张末期内径(LVEDd)、左心室收缩末期内径(LVEDs)、左心房内径(LAD)、左心室射血分数(LVEF%),舒张功能指标包括二尖瓣舒张早期峰值血流速度(E值)、舒张晚期峰值血流速度(A值)、二尖瓣舒张晚期充盈速度比值(E/A)。结果病例组LVEDd、LVEDs、LVEF%、LAD、E/A分别为(48.10±2.54)mm、(32.10±4.68)mm、49.10±4.90、(32.15±6.85)mm、11.15±3.94;对照组分别为(45.10±2.48)mm、(29.48±3.27)mm、55.10±5.57、(31.27±5.91)mm、9.15±4.93;病例组LVEDd、LVEDs、LAD、E/A均大于对照组,LVEF%小于对照组(P均0.05)。结论 PCOS患者妊娠晚期LVEDd、LVEDs、LAD、E/A增大,LVEF%下降,左心室功能较正常孕妇降低。
[Abstract]:Objective to observe the changes of left ventricular function in patients with polycystic ovary syndrome (PCOS) in late pregnancy. Methods 116 pregnant women diagnosed with PCOS before pregnancy were included in the case group and 128 healthy pregnant women were included in the control group. The indexes of left ventricular function were measured by conventional ultrasound. The indexes of systolic function include left ventricular end-diastolic diameter (LVEDdN), left ventricular end-systolic diameter (LVEDsI), left atrial diameter (LADV), left ventricular ejection fraction (LVEF) and left ventricular ejection fraction (LVEF). Diastolic function indexes include mitral peak diastolic velocity (E) and diastolic velocity (E). The late peak flow velocity (A) and the late diastolic filling velocity ratio (E / A) were observed. Results in the case group, the LVEDdS LVEDsm LVEDFV E / A were 48.10 卤2.54 mm, 32.10 卤4.68 mm, 32.10 卤4.90 mm, 32.15 卤6.85 mm, 11.15 卤3.94, 45.10 卤2.48 mm, 29.48 卤3.27 mm, 31.27 卤5.91 卤5.15 卤4.93, respectively, and the LVEDsLVEDsLADE A in the case group was higher than that in the control group (P 0.05, P < 0.05), and that in the control group was significantly lower than that in the control group (P < 0.05). The results showed that the LVEDsLVEDsLADEA in the case group was significantly higher than that in the control group (P < 0.05), and the LVEDsLVEDsLVEDsLADE / A in the case group was significantly higher than that in the control group (P < 0.05). Conclusion LVEDdD / LVEDsL / E / A increased in PCOS patients, and left ventricular function decreased compared with normal pregnant women.
【作者单位】：华北理工大学附属医院;华北理工大学冀唐学院;
【基金】：河北省科技厅科技支撑项目(12277736)
【分类号】：R711.75;R714.2

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