使用超声心动仪观察高血压病左室肥厚与颈动脉内-中膜厚度关系  

Observations on Relationship between Left Ventricular Hypertrophy in Essential Hypertension and Carotid Intima-media Thickness by Echocardiography

作　　者：王丽伟[1] 刘江潮[1] 

机构地区：[1]合肥市第一人民医院,安徽合肥230061

出　　处：《中外医学研究》2012年第13期52-53,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:利用颈动脉超声观察原发性高血压患者左室肥厚与颈动脉内-中膜厚度(IMT)的关系。方法:将笔者所在医院收治的60例高血压患者分为两组,左室肥厚组29例,无左室肥厚组31例。使用彩色多普勒超声诊断仪测定左心室舒张末期内径(LVDd)、室间隔厚度(IVST)、左室后壁厚度(LVPWT)。根据Devereux公式计算左室质量(LVM)及体表面积(BSA),并计算左室质量指数(LVMI),得出左室肥厚标准来分类。采用上述同一超声诊断仪测定双侧颈动脉IMT。结果:高血压病患者伴左室肥厚者颈动脉IMT明显高于不伴左室肥厚者。结论:采用超声波观察颈动脉IMT可作为高血压病对靶器官损害的一种早期的重要评估方法。Objective：To explore the relationship between left ventricular hypertrophy in essential hypertension and carotid intima-media thickness（IMT） by echocardiography.Methods：60 patients with essential hypertension were divided into two groups.Left ventricular hypertrophy 29 cases,normal left ventricle 31 cases.The conventional echo-Doppler parameters assessed included：left ventricular end-diastolic diameter（LVDd）,interventricular septal end-diastolic thickness（IVST）,left ventricular posterior wall thickness（LVPWT）,left ventricular mass index（LVMT） was calculated.The same echocardiography assessed both carotid IMT.Results：The IMT were significant differences in left ventricular hypertrophy hypertension group compared with normal left ventricle group（P0.001）.Conclusion：Carotid IMT is easy to estimate the target organ damage in patients with essential hypertension.

关 键 词：左室肥厚 高血压 颈动脉疾病 超声 

分 类 号：R544.1[医药卫生—心血管疾病]