315例本地成人右心超声心动图结果分析  

Right heart echocardiography analysis in 315 cases of native adult

作　　者：胡敏[1] 江成璠[1] 王素霞[1] 孙晓霞[1] 张晓轩[1] 张胜[1] 冯芳芳[1] 吴乐[1] 

机构地区：[1]黄山市人民医院功能科,安徽黄山245000

出　　处：《中国临床医学影像杂志》2012年第10期707-709,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:检验超声心动图右心评估指南(指南)推荐的指标和标准是否适合国人。方法:回顾分析210例有心肺血管病因病史的异常组和105例健康对照组右心腔径及右室收缩功能超声资料,对比分析2组间均数差异,使用ROC曲线评价指标诊断价值。结果:2组间所有右心指标均有统计学差异(P<0.05),超声指标诊断右心衰特异性高但敏感性差。结论:指南推荐的指标和标准具有指导价值,但应结合临床资料诊断右心衰。Objective： To test whether the diagnostic indicators and criteria in the guidelines for the echocardiographic assessment of the right heart in adults by American Society of Echocardiography in 2010（guidelines） is adaptable to native people. Methods： 210 patients presenting with signs and symptoms of cardiopulmonary disease in patient group and 105 healthy individuals in control group accepted right heart assessment following the guidelines. The student＇s t test was used to compare the mean value difference. The ROC curve was used to evaluate the indicators value. Results： All indicators in the patient group were statistically different to those in the Control group. The thresholds for diagnosis of right heart failure recommended by the guidelines were of high specificity but poor sensitivity. Conclusions： The guidelines are valuable, and should be incorporated into the clinical material to diagnose right heart failure.

关 键 词：心房功能 右 心室功能 右 超声心动描记术 多普勒 彩色 

分 类 号：R331.31[医药卫生—人体生理学] R540.45[医药卫生—基础医学]