摘要
目的 评价彩色多普勒血流仪对老年人心脏瓣膜退行性病变及心功能受损程度的诊断价值。方法 采用二维、脉冲或连续多普勒及彩色多普勒对 1973例 6 0岁以上的老年人进行检查 ,并测定心功能。结果 从 1973例老年人中检出 86 2例心脏瓣膜退行性病变 ,患病率为 43 7% ,患病率随年龄增高而增加。男女发生比例为 3 8∶1。该病主要累及的部位依次为主动脉瓣环、主动脉、二尖瓣环及瓣叶。病变的特点为瓣环、瓣根、瓣体边缘增厚 ,回声增强 ,活动僵硬。随病程进展瓣膜区可出现反流、狭窄 ,造成心脏结构改变和心脏功能受损。其中舒张功能减低患病率较高。结论 老年人心脏瓣膜病是较常见的疾病。
To evaluate the diagnostic value of color Doppler echocardiography in the detection of senile valvular degeneration Methods Color Doppler echocardiography was performed on 1*!973 persons over 60 years old The cardiac function was also examined Results Among them, 862 cases of senile valvular degeneration were found The prevalence is 43 7%, and the ratio of male to female is 3 8∶1 ( P <0 01). The prevalence rises along with the increasing of age Aortic annulus valve, mitral annulus and mitral leaflet were damaged Right coronary and non coronary cusps were frequently involved in aortic valvular calcification The features of echocardiography are thickening and rigidity of annulus, valvular root and cusps Valvular dysfunction can cause regurgitation and stenosis along with the development of the disease Geometry figure of heart changed due to the regurgitation or myocardial ischemia Diastolic dysfunction was common in this data Conclusion Senile valvular degeneration is a common disease in elderly persons Echocardiography is a relatively specific method for detecting the disease
出处
《中国介入心脏病学杂志》
2000年第3期147-148,共2页
Chinese Journal of Interventional Cardiology
