[1]肖作川.心脏超声对肺动脉高压患者肺动脉压及右心功能的评估价值[J].医学信息,2023,36(24):136-139.[doi:10.3969/j.issn.1006-1959.2023.24.031]
　XIAO Zuo-chuan.Value of Echocardiography in Evaluating Pulmonary Artery Pressure and Right Ventricular Function in Patients with Pulmonary Hypertension[J].Journal of Medical Information,2023,36(24):136-139.[doi:10.3969/j.issn.1006-1959.2023.24.031]
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心脏超声对肺动脉高压患者肺动脉压及右心功能的评估价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年24期
页码:
136-139
栏目:
诊疗技术
出版日期:
2023-12-15

文章信息/Info

Title:
Value of Echocardiography in Evaluating Pulmonary Artery Pressure and Right Ventricular Function in Patients with Pulmonary Hypertension
文章编号:
1006-1959（2023）24-0136-04
作者:
肖作川
（吉安市青原区人民医院彩超室，江西 吉安 343000）
Author(s):
XIAO Zuo-chuan
(Color Doppler Ultrasound Room,Qingyuan District People’s Hospital,Ji’an 343000,Jiangxi,China)
关键词:
心脏超声; 肺动脉高压; 肺动脉压; 右心功能
Keywords:
Echocardiography; Pulmonary hypertension; Pulmonary artery pressure; Right heart function
分类号:
R541
DOI:
10.3969/j.issn.1006-1959.2023.24.031
文献标志码:
A
摘要:
目的 研究心脏超声对肺动脉高压患者肺动脉压及右心功能的评估价值。方法 选取2020年1月-2022年6月我院诊治的68例肺动脉高压患者作为观察组，并选取同期在我院体检的68例健康者作为对照组。两组均进行心脏超声检查，比较两组主肺动脉内径（MPAD）、右肺动脉内径（RPAD）、肺动脉压指标（肺动脉收缩压、舒张压、平均肺动脉压）、右心功能指标[右心室射血分数（RVEF）、心脏超声A峰和E峰流速比值（E/A）、右室心肌做功指数（RMPI）]、不同肺动脉压患者以上指标水平以及心脏超声征象特点。结果 观察组MPAD、RPAD均大于对照组（P＜0.05）；观察组肺动脉收缩压、舒张压、平均肺动脉压均大于对照组（P＜0.05）；观察组RVEF、E/A均小于对照组，RMPI大于对照组（P＜0.05）；重度患者MPAD、RPAD、肺动脉收缩压、舒张压、平均肺动脉压、RMPI均大于中度、轻度患者，RVEF、E/A均小于中度、轻度患者（P＜0.05），且中度患者MPAD、RPAD、肺动脉收缩压、舒张压、平均肺动脉压、RMPI均大于轻度患者，RVEF、E/A均小于轻度患者（P＜0.05）；肺动脉高压患者心脏超声主要表现为右室肥厚、增大，右房增大、肺动脉增宽、三尖反流及高速反流频谱。结论 心脏超声在肺动脉高压患者肺动脉压及右心功能评估中具有重要的价值，可明确肺动脉内径具体情况，了解右心功能收缩和舒张功能，为患者的治疗、预后判断提供可靠参考。
Abstract:
Objective To study the value of echocardiography in evaluating pulmonary artery pressure and right ventricular function in patients with pulmonary hypertension.Methods 68 patients with pulmonary hypertension diagnosed and treated in our hospital from January 2020 to June 2022 were selected as the observation group, and 68 healthy people who underwent physical examination in our hospital during the same period were selected as the control group. The two groups were examined by echocardiography. The main pulmonary artery diameter (MPAD), right pulmonary artery diameter (RPAD), pulmonary artery pressure index (pulmonary artery systolic pressure, diastolic pressure, mean pulmonary artery pressure), right ventricular function index [right ventricular ejection fraction (RVEF), echocardiography A peak and E peak velocity ratio (E/A), right ventricular index of myocardial performance (RMPI)], the above index levels of patients with different pulmonary artery pressure and the characteristics of echocardiography were compared between the two groups.Results MPAD and RPAD in the observation group were higher than those in the control group (P<0.05). The pulmonary artery systolic pressure, diastolic pressure and mean pulmonary artery pressure in the observation group were higher than those in the control group (P<0.05). RVEF and E/A in the observation group were smaller than those in the control group, and RMPI was larger than that in the control group (P<0.05). MPAD, RPAD, pulmonary artery systolic pressure, diastolic pressure, mean pulmonary artery pressure and RMPI in severe patients were higher than those in moderate and mild patients, RVEF and E/A were lower than those in moderate and mild patients (P<0.05). MPAD, RPAD, pulmonary artery systolic pressure, diastolic pressure, mean pulmonary artery pressure and RMPI in moderate patients were higher than those in mild patients, RVEF and E/A were lower than those in mild patients (P<0.05). Cardiac ultrasound in patients with pulmonary hypertension mainly showed right ventricular hypertrophy, enlargement, right atrial enlargement, pulmonary artery widening, tricuspid regurgitation and high-speed reflux spectrum.Conclusion Cardiac ultrasound has important value in the evaluation of pulmonary artery pressure and right heart function in patients with pulmonary hypertension, which can clarify the specific situation of pulmonary artery diameter, understand the systolic and diastolic function of right heart function, and provide a reliable reference for the treatment and prognosis of patients.

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更新日期/Last Update: 1900-01-01