64排螺旋CT对原发性高血压患者冠脉病变高血压病及左心功能的临床观察

发布时间：2018-07-05 00:27

本文选题：排螺旋CT + 原发性高血压　；参考：《中西医结合心血管病电子杂志》2016年24期

【摘要】：目的对64排螺旋CT在原发性高血压患者冠脉病变及左心功能评价中的应用效果进行评价分析,为今后的临床诊断工作,提供有价值的参考信息。方法选择2014年1月~2015年12月我院收治的原发性高血压患者98例作为观察组,按照血压水平,将其分成1级、2级和3级。另取同期健康体检者50例作为对照组。对以上受试者采用64排螺旋CT进行心脏成像扫描,对受试者冠状动脉病变特点、血压、冠状动脉病变与左心功能的关系等进行观察分析。结果高血压1级患者,多表现为轻度和单支病变,高血压3级患者,多表现为双支和三支病变,并且左室射血分数、左室舒张末容积、左室收缩末容积、心肌质量等与其他组别比较,发生明显降低(P0.05)。结论经64排螺旋CT检查,可以对原发性高血压患者的冠脉病变、左心室功能改变进行清晰显示,临床价值显著,值得临床推广使用。
[Abstract]:Objective to evaluate the effect of 64-slice spiral CT in the evaluation of coronary artery disease and left ventricular function in patients with essential hypertension, and to provide valuable information for clinical diagnosis in the future. Methods 98 patients with essential hypertension from January 2014 to December 2015 were selected as observation group. According to the blood pressure level, they were divided into grade 1, grade 2 and grade 3. Another 50 healthy persons were taken as control group. The characteristics of coronary artery disease, blood pressure, the relationship between coronary artery lesion and left ventricular function were observed and analyzed. Results in patients with grade 1 hypertension, mild and single-vessel lesions were found, and in patients with grade 3 of hypertension, the lesions were double-vessel and three-vessel disease, and left ventricular ejection fraction, left ventricular end-diastolic volume, left ventricular end-systolic volume, left ventricular end-diastolic volume, left ventricular end-systolic volume, left ventricular end-diastolic volume, left ventricular end-systolic volume. Compared with other groups, myocardial mass decreased significantly (P0.05). Conclusion 64-slice spiral CT can clearly display the changes of left ventricular function and coronary artery lesion in patients with essential hypertension, which is worth popularizing.
【作者单位】：包钢三医院放射科;包钢三医院;
【分类号】：R544.11;R816.2

【相似文献】