[1]李祥敏.多普勒彩超在慢性心力衰竭患者中的诊断特点分析[J].医学信息,2022,35(11):144-146.[doi:10.3969/j.issn.1006-1959.2022.11.038]
　LI Xiang-min.Analysis of Diagnostic Characteristics of Doppler Ultrasound in Patients with Chronic Heart Failure[J].Medical Information,2022,35(11):144-146.[doi:10.3969/j.issn.1006-1959.2022.11.038]
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多普勒彩超在慢性心力衰竭患者中的诊断特点分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年11期
页码:
144-146
栏目:
论著
出版日期:
2022-06-01

文章信息/Info

Title:
Analysis of Diagnostic Characteristics of Doppler Ultrasound in Patients with Chronic Heart Failure
文章编号:
1006-1959（2022）11-0144-03
作者:
李祥敏
（万载诚济医院超声科，江西 万载 336100）
Author(s):
LI Xiang-min
(Department of Ultrasound,Wanzai Chengji Hospital,Wanzai 336100,Jiangxi,China)
关键词:
多普勒彩超; 慢性心力衰竭; 左心室舒张末期内径; 左心房内径; 左心室射血分数; 心功能分级
Keywords:
Color Doppler ultrasound; Chronic heart failure; Left ventricular end diastolic diameter; Left atrial diameter; Left ventricular ejection fraction; Cardiac function classification
分类号:
R541.6
DOI:
10.3969/j.issn.1006-1959.2022.11.038
文献标志码:
A
摘要:
目的 探讨多普勒彩超在慢性心力衰竭中的诊断价值。方法 选取2018年1月-2020年12月在我院就诊的慢性心力衰竭患者80例设为观察组，选取同期健康体检者80例设为对照组，均行多普勒彩超检查。比较两组左心室舒张末期内径（LVDD）、左心房内径（LAD）和左心室射血分数（LVEF），观察组不同心功能分级患者LVDD、LAD和LVEF，分析LVDD、LAD、LVEF及三者联合诊断慢性心力衰竭的价值。结果 观察组LVDD和LAD高于对照组，而LVEF低于对照组（P＜0.05）；观察组NYHA分级Ⅲ级患者LVDD和LAD高于Ⅰ和Ⅱ级组，而LVEF低于Ⅰ和Ⅱ级组（P＜0.05）；LVDD、LAD和LVEF诊断慢性心力衰竭的ROC曲线下面积分别为0.730、0.760和0.751（P＜0.05），截断值分别为53.15 mm、32.20 mm和56.60%，灵敏性分别为68.00%、70.00%和67.00%，特异性分别为60.00%、64.00%和62.00%；LVDD、LAD和LVEF诊断慢性心力衰竭的ROC曲线下面积为0.901（P＜0.05），灵敏性和特异性分别为83.50%和92.00%。结论 多普勒彩超可以准确测量LVDD、LAD和LVEF，直观地反映心脏结构异常与心脏血流动力学异常的关系，LVDD、LAD联合LVEF诊断慢性心力衰竭有一定临床价值。
Abstract:
Objective To explore the diagnostic value of Doppler ultrasound in chronic heart failure.Methods A total of 80 patients with chronic heart failure who were treated in our hospital from January 2018 to December 2020 were selected as the observation group, and 80 healthy people in the same period were selected as the control group. All patients underwent Doppler ultrasound examination. Left ventricular end diastolic diameter (LVDD), left atrial diameter (LAD) and left ventricular ejection fraction (LVEF) were compared between the two groups, and LVDD, LAD and LVEF in patients with different cardiac function grades in the observation group were compared. The value of LVDD, LAD, LVEF and their combination in the diagnosis of chronic heart failure was analyzed.Results LVDD and LAD in the observation group were higher than those in the control group, while LVEF was lower than that in the control group (P<0.05). LVDD and LAD of patients with NYHA grade Ⅲ in the observation group were higher than those in the Ⅰ and Ⅱ groups, while LVEF was lower than those in the Ⅰ and Ⅱ groups (P<0.05). The areas under the ROC curve of LVDD, LAD and LVEF in the diagnosis of chronic heart failure were 0.730, 0.760 and 0.751, respectively (P<0.05); the cutoff values were 53.15 mm, 32.20 mm and 56.60%, respectively. The sensitivities were 68.00%, 70.00% and 67.00%, respectively; the specificity was 60.00%, 64.00% and 62.00%, respectively; the area under ROC curve of LVDD, LAD and LVEF in the diagnosis of chronic heart failure was 0.901 (P<0.05), and the sensitivity and specificity were 83.50% and 92.00%, respectively.Conclusion Doppler ultrasound can accurately measure LVDD, LAD and LVEF, and intuitively reflect the relationship between cardiac structural abnormalities and cardiac hemodynamic abnormalities. LVDD, LAD combined with LVEF has certain clinical value in the diagnosis of chronic heart failure.

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更新日期/Last Update: 1900-01-01