摘要
目的探讨乙型肝炎肝硬化患者心电图和超声心动图的异常情况及临床意义。方法方便选取2014年1月—2017年3月该院收治的52例乙型肝炎肝硬化患者为实验组,另择取同期该院医治的52例普通乙肝患者为对照组。予以两组心电图和超声心动图检查,对比观察两组心电图及超声心动图参数。结果实验组心电图中,T波改变20例(38.5%),左心室肥大15例(28.8%),左心房肥大12例(23.1%)、低电压10例(19.2%)、心电轴左偏16例(30.8%),QT延长19例(36.5%),各项指标病例构成均高于对照组(P<0.05)。实验组超声心动图中,AOD(32.6±0.7)mm,LAD(32.1±0.7)mm,LVDd(45.7±2.1)mm,IVS(10.2±0.5)mm,LVPW(9.9±0.4)mm,LVEF(48.3±2.9)%,各项指标值与对照组比较差异有统计学意义(P<0.05)。结论乙肝肝硬化患者多存在心脏结构异常及功能改变,定期复查心电图和超声心动图能够为乙肝肝硬化患者心肌及心功能损害早期诊治提供依据,值得推广使用。
Objective To study the abnormality and clinical significance of electrocardiogram and ultrasonic cardiogram in patients with hepatitis b cirrhosis. Methods Convenient selection 52 cases of patients with hepatitis b cirrhosis admitted and treated in our hospital from January 2014 to March 2017 were selected as the experimental group, while 52 cases of patients with common hepatitis b treated in our hospital at the same period in our hospital were selected as the control group and both groups were examined by the electrocardiogram and ultrasonic cardiogram, and the parameters of electrocardiogram and ultrasonic cardiogram were compared and observed. Results In the experimental group, there were 20 cases with T wave changes（38.5%）, 15 cases with left ventricular hypertrophy（28.8%）, 12 cases with left atrial hypertrophy（23.1%）, 10 cases with low voltage（19.2%）, 16 cases with left axis deviation（30.8%） and 19 cases with Q-T extension（36.5%）, and the ratio of various indexes were higher than those in the control group（P〈0.05）, and the ultrasonic cardiogram in the experimental group showed that AOD（32.6±0.7）mm,LAD（32.1±0.7）mm, LVDd（45.7±2.1）mm,IVS（10.2±0.5）mm,LVPW（9.9±0.4）mm,LVEF（48.3±2.9）%, and the differences in various indexes between the two groups were obvious（P 0.05）. Conclusion Most of the patients with hepatitis b cirrhosis have the heart function abnormality and function changes, and the regular reexamination of electrocardiogram and ultrasonic cardiogram can provide basis for the early diagnosis and treatment of myocardial and cardiac function injuries of patients with hepatitis b cirrhosis, and it is worth promotion and application.
出处
《中外医疗》
2017年第18期196-198,共3页
China & Foreign Medical Treatment
关键词
乙型肝炎肝硬化
心电图
超声心动图
异常表现
临床意义
Hepatitis b cirrhosis
Electrocardiogram
Ultrasonic cardiogram
Abnormal manifestations
Clinical significance
