摘要
目的探讨心脏超声在诊断新疆地区高血压合并阵发性心房颤动患者中的应用效果。方法选取2020年10月至2021年12月新疆维吾尔自治区人民医院收治的228例患者作为研究对象,根据疾病的不同分为观察组(114例)与对照组(114例),观察组患者为高血压合并阵发性心房颤动患者,对照组患者为单纯高血压患者,所有患者均行体格检查、生化检验、超声检查,比较两组患者的检查结果。结果两组患者的身高、体重、体重指数、收缩压、血压级别比较,差异无统计学意义(P>0.05);观察组的年龄、腹围大于对照组、性别男比例、舒张压、原发性高血压比例低于对照组、高血压年限长于对照组,3级眼底病变程度比例、血同型半胱氨酸、D-二聚体高于对照组,差异有统计学意义(P<0.05)。观察组的左房内径(LAD)、左室舒张末期内径(LVDd)、室间隔厚度(IVS)及左室后壁厚度(LVPW)高于对照组,二尖瓣舒张早期心室快速充盈峰值速度/舒张晚期心房收缩峰值速度(E/A)低于对照组,差异有统计学意义(P<0.05)。两组的室间隔厚度/左室后壁厚度(IVS/LVPW)比较,差异无统计学意义(P>0.05)。结论对高血压合并阵发性心房颤动患者采用超声诊断比较后发现,其心脏结构与单纯高血压患者心脏结构相比较有生理差异,对根据超声诊断结果为患者提供病情诊断并采取必要后续治疗措施进行治疗提供早期临床证据。
Objective To investigate the application of cardiac ultrasound in the diagnosis of hypertensive patients with paroxysmal atrial fibrillation in Xinjiang region.Methods A total of 228 patients admitted to People's Hospital of Xinjiang Uygur Autonomous Region from October 2020 to December 2021 were selected as the research objects,and they were divided into observation group(n=114)and control group(n=114)according to different diseases.The observation group included hypertensive patients complicated with paroxysmal atrial fibrillation,and the control group included hypertensive patients alone.All patients underwent ultrasound examination,and the examination results of the two groups were compared.Results There were no significant differences in height,weight,body mass index,systolic blood pressure and blood pressure between the two groups(P>0.05).The left atrial diameter(LAD),left ventricular end-diastolic diameter(LVDd),ventricular septum(IVS)and left ventricular posterior wall(LVPW)in the observation group were higher than those in the control group,and the peak velocity of early mitral valve rapid filling/peak velocity of late diastolic atrial contraction(E/A)in the observation group was lower than that in the control group,with statistically significant differences(P<0.05).There was no significant difference in the ventricular septum/left ventricular posterior wall(IVS/LVPW)between the two groups(P>0.05).Conclusion The comparison of hypertensive patients with paroxysmal atrial fibrillation by ultrasound diagnosis found that the heart structure of the patients with hypertension and simple hypertension compared with the heart structure of physiological differences,according to the results of ultrasound diagnosis to provide patients with disease diagnosis and necessary follow-up treatment measures to provide early clinical evidence.
作者
孙梦醒
韩锡元
优里吐孜·阿地里
方舒
姚娟
SUN Mengxing;HAN Xiyuan;Adili Youlituzi;FANG Shu;YAO Juan(School of Medicine,Shihezi University,Xinjiang Uygur Autonomous Region,Shihezi832003,China;School of Medicine,Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830001,China;Department of Cardiology,People's Hospital of Xinjiang Uygur Autonomous Region,Xinjiang Uygur Autonomous Region,Urumqi830001,China)
出处
《中国当代医药》
CAS
2022年第34期93-96,共4页
China Modern Medicine
基金
新疆维吾尔自治区区域协同创新专项(科技援疆计划)项目(2021E02076)。
关键词
高血压
阵发性心房颤动
心脏超声
临床诊断
Hypertension
Paroxysmal atrial fibrillation
Cardiac ultrasound
Clinical diagnosis
