超声心动图检查对应激性心肌病的诊断价值探讨  

Investigation of diagnostic value of echocardiography examination in patients with stress cardiomyopathy

作　　者：吴庆法 李庆军[1] 李泽林[1] 冯明瑞[1] WU Qingfa;LI Qingjun;LI Zelin;FENG Mingrui(Department of Cardiology,the People's Central Hospital of Zhanjiang City,Zhanjiang,Guangdong 524045,China)

机构地区：[1]广东省湛江中心人民医院心内一科,广东湛江524045

出　　处：《中国医学工程》2018年第12期68-71,共4页China Medical Engineering

摘　　要：目的探讨超声心动图在应激性心肌病(SCM)诊断中的价值。方法将60例SCM患者作为观察组,将同期接受体检的健康人群60例作为对照组。比较两组对象入组时超声心动图、心肌损伤标志物和常规心电图差异,再比较观察组治疗14 d时与入组时各指标的变化。结果观察组入组时超声心动图结果与对照组比较差异有统计学意义(P <0.05);观察组治疗14 d时与入组时比较差异有统计学意义(P <0.05),观察组治疗14 d时与对照组相比差异无统计学意义(P>0.05)。观察组入组时血清心肌损伤标志物水平与对照组比较有轻度升高,但差异无统计学意义(P>0.05),观察组治疗14 d时各指标均较入组时轻度下降,但差异无统计学意义(P>0.05),观察组治疗14 d时各指标与对照组差异亦无统计学意义(P>0.05)。对照组常规心电图检查均未发现明显异常,观察组中有58例存在异常。结论超声心动图在诊断SCM中具有较高的临床应用价值。【Objective】To explore the diagnostic value of echocardiography examination in patients with stress cardiomyopathy(SCM).【Methods】Sixty cases of patients with SCM were selected as the observation group, while 60 cases of healthy people who received physical examination were selected as the control group. The differences in echocardiography, myocardial injury markers and conventional electrocardiogram between the two groups were compared, and the changes of indexes 14 days after treatment and at the beginning of the study in the observation group were compared.【Results】The echocardiographic findings at pre-treatment in the observation group were significantly different from those in the control group(P <0.05). There were significant difference between 14 days after treatment and pre-treatment in the observation group(P <0.05), but there was no significant difference between 14 days after treatment in the observation group and control group(P >0.05). The level of serum myocardial injury markers pre-treatment in the observation group was slightly higher than that in the control group, but there was no significant difference(P >0.05). The indexes in the observation group 14 days after treatment were slightly lower than those pretreatment, but the difference was not statistically significant(P >0.05), and there was no significant difference in the control group(P >0.05). There was no obvious abnormality found in routine electrocardiogram examination in the control group, and 58 cases were abnormal in the observation group.【Conclusion】The echocardiography may play an important role in diagnosis of SCM.

关 键 词：超声心动图 应激性心肌病 TAKO-TSUBO心肌病 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]