糖尿病患者的左心室功能改变  

Change of Left Ventricular Fanction in Patients with Diabetes Mellitus

作　　者：何庚山 

机构地区：[1]河南省安阳市人民医院门诊部,安阳455000

出　　处：《中国医药导刊》2009年第6期905-905,907,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨糖尿病患者左心室功能改变特点。方法:应用心阻抗血流图(ICG)对30例Ⅱ型糖尿病患者和30例正常人进行了左室功能检测。结果:糠尿病患者左室射血前期(PEP)延长,射血期(LVET)无变化,PEP/LVET值增大,等容舒张期(A_((2))-O)延长,房缩波(A)增大,A/C值增大,心脏指数(CI)减低。相关分析表明CI与A_((2))-O、A、A/C呈显著负相关(r=-0.63,P<0.01,r=-0.52,P<0.01,r=-0.56,P<0.01),与PEP/LVET呈弱负相关(r=0.34,P<0.05)。结论:糖尿病患者左心室舒张功能和收缩功能均存在异常,舒张功能受损较早、较重。Objective： Toobjective the change of left ventrieular function in patients with diabetes meltitus. Methods： Left ventricular funcetion was measured by hnpedance cardiogram in 30 patients with diabetes mellitus and 30 normal persons. Results： PEP was longer, LVET no change, PEP/LVET bigger, A2-O longer, A wave higher, A/C bigger, EF no change and CI was diminished in patients with diabetes mellitus. CI correlated strongly to A2-O（r= -0.63, P〈0.01）, A（r= -0.52, P〈0.01）, A/C（r=-0.56, P〈0.01）, but weakly to PEP/LVEF （r= -0.34, P〈0.05 ） . Conclusion ：Abnormal left ventricular diastolic and systolic function was present and left ventrieutar diastolic dysfunction was more severe in patients with diasbetes metlitus.

关 键 词：糖尿病 左心室功能 心阻抗血流图 

分 类 号：R587.1[医药卫生—内分泌]