高血压左室肥厚伴左心力衰竭的心脏超声诊断的价值研究

张娟　黄雄　曾海华

【摘要】 目的：研究和分析高血压左室肥厚伴左心力衰竭的心脏超声诊断的价值。方法：选取本院2014年1月-2017年1月收治的高血压左室肥厚伴左心力衰竭患者120例为观察组，选择同期120例健康体检者为对照组。两组均接受心脏超声诊断，对比分析两组诊断结果。结果：对照组E/Ea、LVEF、LVDd、LAD等指标均明显优于观察组，差异均有统计学意义（P<0.05）。而观察组心功能I级的E/Ea、LVEF、LVDd、LAD等指标均明显优于Ⅱ、Ⅲ级，心功能Ⅱ级的E/Ea、LVEF、LVDd、LAD等指标明显优于Ⅲ级，差异均有统计学意义（P<0.05）。结论：心脏超声诊断能够对高血压左室肥厚伴左心力衰竭患者心力衰竭程度进行有效评估，并且能够为患者的临床诊断和治疗提供一定参考依据。

【关键词】 高血压； 左室肥厚； 左心力衰竭； 心脏超声诊断； 价值

The Value of Echocardiography in the Diagnosis of Hypertension-induced Left Ventricle Hypertrophy Combined with Left Heart Failure/ZHANG Juan，HUANG Xiong，ZENG Hai-hua.//Medical Innovation of China，2017，14（19）：055-058

【Abstract】 Objective：To study and analysis the value of echocardiography in diagnosis of hypertension-induced left ventricular hypertrophy combined with left heart failure.Method：A total of 120 cases of hypertension-induced left ventricular hypertrophy combined with left heart failure in our hospital from January 2014 to January 2017 were selected as the observation group，120 healthy cases at the same period were selected as the control group.Both two groups were taken with cardiac ultrasound diagnosis，the results of two groups were compared and analyzed.Result：The E/Ea，LVEF，LVDd and LAD of the control group were significantly better than those of the observation group，the differences were statistically significant（P<0.05）.The E/Ea，LVEF，LVDd and LAD of Ⅰ grade of heart function were significantly better than those of Ⅱ，and Ⅲ grade of heart function in the observation group，the E/Ea，LVEF，LVDd and LAD of Ⅱ grade of heart function were significantly better than those of Ⅲ grade of heart function in the observation group，the differences were statistically significant（P<0.05）.Conclusion：Cardiac ultrasound diagnosis can correctly assess left heart failure degree in patients of hypertension-induced left ventricular hypertrophy combined with left heart failure，and can provide a reference for clinical diagnosis and treatment of patients.

【Key words】 Hypertension； Left ventricular hypertrophy； Left heart failure； Cardiac ultrasound diagnosis； Value

First-authors address：Dongcheng Peoples Hospital，Dongguan 523007，China

doi：10.3969/j.issn.1674-4985.2017.19.016

臨床上高血压是一种常见疾病，在老年人群中具有一定的多发性[1-2]。随着社会老龄化的逐渐加剧，近些年高血压发病的几率也呈现出日益增长的趋势，这就对老年人的生命安全以及身体健康产生了直接影响，而高血压早期发现、诊断和治疗，对于患者而言具有重要意义[3-5]。据有关研究显示，高血压左心室肥厚伴左心力衰竭的患者，通常具有较高的病死率，且临床准确诊断的效果较差，难度较大，同时缺乏理想的预后效果[6-8]。而针对高血压患者，临床上一般进行心脏超声诊断，该方法的优势在于可重复操作、安全高效等，且其为早期诊断各种心力衰竭奠定了良好的基础[9-11]。因此本文对高血压左室肥厚伴左心力衰竭的心脏超声诊断的价值进行了研究和分析，现报道如下。endprint

1 资料与方法

1.1 一般资料 选取本院2014年1月-2017年1月收治的高血压左室肥厚伴左心力衰竭患者120例为观察组，选择同期120例健康体检者为对照组。对照组男75例，女45例，年龄51～79岁，平均（62.12±3.48）岁；观察组男68例，女52例，年龄52～80岁，平均（63.43±4.17）岁，合并症：扩张性心肌病15例、肥厚性心肌病21例、冠心病49例、糖尿病35例。……