[1]杨晓芳,高启福,易 晴.多普勒心功能综合指数评价无创正压通气对冠心病急性左心衰竭患者心功能影响的研究[J].医学信息,2024,37(22):74-77.[doi:10.3969/j.issn.1006-1959.2024.22.018]
　YANG Xiaofang,GAO Qifu,YI Qing.Evaluate the Effect of Noninvasive Positive Pressure Ventilation on Cardiac Function in Patients with Acute Left Heart Failure of Coronary Heart Disease by Doppler Cardiac Function Index[J].Journal of Medical Information,2024,37(22):74-77.[doi:10.3969/j.issn.1006-1959.2024.22.018]
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多普勒心功能综合指数评价无创正压通气对冠心病急性左心衰竭患者心功能影响的研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年22期
页码:
74-77
栏目:
论著
出版日期:
2024-11-15

文章信息/Info

Title:
Evaluate the Effect of Noninvasive Positive Pressure Ventilation on Cardiac Function in Patients with Acute Left Heart Failure of Coronary Heart Disease by Doppler Cardiac Function Index
文章编号:
1006-1959（2024）22-0074-04
作者:
杨晓芳; 高启福; 易 晴
于都县人民医院超声科，江西 于都 342300
Author(s):
YANG Xiaofang; GAO Qifu; YI Qing
Department of Ultrasound,Yudu County People’s Hospital,Yudu 342300,Jiangxi,China
关键词:
冠心病; 急性左心衰竭; 多普勒心功能综合指数; 无创正压通气; 左室射血分数
Keywords:
Coronary heart disease; Acute left heart failure; Doppler comprehensive heart function index; Noninvasive positive pressure ventilation; Left ventricular ejection fraction
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2024.22.018
摘要:
目的 研究多普勒心功能综合指数（Tei指数）评价无创正压通气（NIPPV）对冠心病（CHD）急性左心衰竭（AHF）患者心功能影响的价值。方法 以于都县人民医院2022年1月-2023年12月收治的66例CHD伴AHF患者为研究对象，所有患者均给予NIPPV治疗，统计其治疗效果，采用超声心动图对其上机前及撤机后的左室射血分数（LVEF）进行检测，同时应用多普勒成像模式，测算左房室瓣舒张早期与舒张晚期血流峰值速度比值（E/A）与Tei指数，比较患者上机前与撤机后的LVEF、E/A、Tei指数变化，分析不同指标对NIPPV治疗后心功能改善的评估价值。结果 NIPPV通气治疗2 h后，共62例患者达有效治疗标准，治疗有效率为93.94%，另4例患者为治疗无效，改行气管插管机械通气。撤机后，治疗有效患者的LVEF、E/A参数高于上机前（P＜0.05），Tei指数低于上机前（P＜0.05）。ROC曲线显示，Tei指数对NIPPV治疗后心功能改善的评估价值高于LVEF与E/A（P＜0.05）。结论 Tei指数可有效反映NIPPV对冠心病AHF患者心功能的影响，对其心功能改善效果具有积极评估价值。
Abstract:
Objective To study the value of Doppler cardiac function index (Tei index) in evaluating the effect of non-invasive positive pressure ventilation (NIPPV) on cardiac function in patients with coronary heart disease (CHD) and acute left heart failure (AHF).Methods A total of 66 patients with CHD and AHF admitted to Yudu County People’s Hospital from January 2022 to December 2023 were selected as the research objects. All patients were treated with NIPPV. The therapeutic effects were statistically analyzed. The left ventricular ejection fraction (LVEF) before and after weaning was detected by echocardiography. At the same time, Doppler imaging mode was used to measure the ratio of early diastolic peak velocity to late diastolic peak velocity (E/A) and Tei index of left atrioventricular valve. The changes of LVEF, E/A and Tei index before and after weaning were compared. The evaluation value of different indicators on the improvement of cardiac function after NIPPV treatment was analyzed.Results After 2 hours of NIPPV ventilation treatment, a total of 62 patients reached the effective treatment standard, and the effective rate was 93.94%. The other 4 patients were ineffective and changed to tracheal intubation mechanical ventilation. After weaning, the LVEF and E/A parameters of patients with effective treatment were higher than those before treatment (P<0.05), and the Tei index was lower than that before treatment (P<0.05). The ROC curve showed that the value of Tei index in evaluating the improvement of cardiac function after NIPPV treatment was higher than that of LVEF and E/A (P<0.05).Conclusion Tei index can effectively reflect the effect of NIPPV on cardiac function in patients with coronary heart disease AHF, and has a positive evaluation value for the improvement of cardiac function.

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更新日期/Last Update: 1900-01-01