超声心动图下心脏结构和功能的变化与脑梗死的相关性分析

发布时间：2018-08-07 16:37

【摘要】：目的通过观察心脏形态结构和功能的变化，分析脑梗死患者与非脑梗死患者心脏形态、功能的差异，探索心脏形态和功能的变化同脑梗死的关系。方法回顾性分析245例患者，其中脑梗死患者146例，非脑梗死患者99例，通过超声心动图测量两组患者右室舒张末内径（RVIDd），舒张期室间隔厚度（IVSDd），左室舒张末内径（LVIDd），舒张期左室正后壁（LVPWd），左室舒张末容积（EDV），左室收缩末期容积（ESV），射血分数（%EF），每搏量（SV），缩短分数（FS），主动脉根部内径（AO），左房内径（LA），主肺动脉内径（MPA）。测量患者肱动脉收缩压和舒张压，检测患者空腹血糖、低密度脂蛋白、甘油三脂及总胆固醇水平。经统计学处理后，对其进行相关性分析。结果脑梗死组与非脑梗死组患者性别及血脂无显著差异（P0.05），，脑梗死组患者患高血压人数及空腹血糖值高于对照组，有统计学意义（P0.05)。脑梗死组与非脑梗死组间心脏射血分数，主肺动脉内径及缩短分数两组间无明显差异(P0.05)。脑梗死组舒张期左室正后壁，右室舒张末内径，舒张期室间隔厚度，左室舒张末内径，左室舒张末容积，左室收缩末期容积，每搏量，主动脉根部内径，左房内径均较非脑梗死组高，有统计学意义(P0.05)。结论心脏形态和功能的异常与脑梗死发病存在相关性，是有影响力的危险因素及独立的预测因素。
[Abstract]:Objective to investigate the relationship between the changes of heart morphology and function and the changes of heart morphology and function in patients with cerebral infarction and those without cerebral infarction by observing the changes of heart morphology, structure and function, and analyzing the difference of heart morphology and function between cerebral infarction patients and non-cerebral infarction patients. Methods 245 patients were retrospectively analyzed, including 146 patients with cerebral infarction and 99 patients with non-cerebral infarction. Right ventricular end-diastolic diameter (RVIDd),) left ventricular septal thickness (IVSDd),) left ventricular end-diastolic diameter (IVSDd),) left ventricular end-diastolic volume (LVIDd),) left ventricular end-diastolic volume (LVPWd),) left ventricular end-diastolic volume (EDV),) and left ventricular end-systolic volume (ESV),) in both groups were measured by echocardiography. , (SV), shortening fractional (FS), aortic root diameter, (AO), left atrial diameter, (LA), main pulmonary artery diameter (MPA). Systolic and diastolic blood pressure of brachial artery were measured, fasting blood glucose, low density lipoprotein, triglyceride and total cholesterol were measured. After statistical treatment, the correlation analysis was carried out. Results there was no significant difference in sex and blood lipid between cerebral infarction group and non-cerebral infarction group (P0.05). The number of patients with hypertension and fasting blood glucose in cerebral infarction group were higher than those in control group (P0.05). There was no significant difference in ejection fraction, diameter of main pulmonary artery and shortening score between cerebral infarction group and non-cerebral infarction group (P0.05). In cerebral infarction group, left ventricular posterior wall, right ventricular end-diastolic diameter, diastolic septal thickness, left ventricular end-diastolic diameter, left ventricular end-diastolic volume, left ventricular end-systolic volume, stroke volume, aortic root diameter, Left atrial diameter was significantly higher than that in non-cerebral infarction group (P0.05). Conclusion the abnormality of cardiac morphology and function is an influential risk factor and an independent predictor of cerebral infarction.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.33

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