实时三维超声心动图评价2型糖尿病患者左室功能及同步性的观察  

Assessment of left ventricular function and its synchronism with real-time three-dimensional echocardiography in type 2 diabetic patients

作　　者：甘小玲[1] 张棣[1] 郭盛兰[1] 吴棘[1] 

机构地区：[1]广西医科大学第一附属医院超声科,南宁530021

出　　处：《中国糖尿病杂志》2014年第8期689-692,共4页Chinese Journal of Diabetes

摘　　要：目的利用实时三维超声心动图(RT-3DE)评价T2DM患者左室收缩功能及同步性。方法选取T2DM患者60例,根据BP水平分为T2DM合并高血压(T2DM+HT)组28例及单纯T2DM组32例,另设正常对照(NC)组30名,均行常规二维超声心动图及RT-3DE检查。目的 T2DM+HT组及单纯T2DM组RT-3DE测量的左室射血分数(LVEF)均低于NC组(P均<0.05);与NC组相比,T2DM+HT组及单纯T2DM组左室容积-时间曲线各参数(Tmsv16-SD、Tmsv12-SD、Tmsv6-SD、Tmsv16-Dif、Tmsv12-Dif、Tmsv6-Dif、Tmsv16-SD%、Tmsv12-SD%、Tmsv6-SD%、Tmsv16-Dif%、Tmsv12-Dif%、Tmsv6-Dif%)均较NC组增大(P均<0.05)。结论应用RT-3DE技术可早期、准确评价T2DM患者左室收缩功能及其收缩不同步性。Objective To evaluate left ventricular function and its synchronism with real-time three-dimensional echocardiography （RT-3DE） in type 2 diabetes mellitus.Methods 60 patients with type 2 diabetes mellitus were divided into T2DM with hypertension （DM＋ HT） group and T2DM without hypertension （T2DM） group,and 30 health adults were selected as normal control （NC）.Two-dimensional echocardiography and RT-3DE image data were acquired in all patients.Results LVEF measured with RT-3DE was lower in T2DM＋ HT and T2DM group than in NC group（P＜0.05）; Left ventricular capacity-time curve parameters （including Tmsv16-SD,Tmsv12-SD,Tmsv6-SD,Tmsv16-Dif,Tmsv12-Dif,Tmsv6-Dif,Tmsv16-SD％,Tmsv12-SD％,Tmsv6-SD％,Tmsv16-Dif％,Tmsv12-Dif％,Tmsv6-Dif％） were significantly higher in T2DM and in T2DM＋HT group than in NC group（P＜ 0.05）.Conclusion Real-time three-dimensional echocardiography can early evaluate left ventricular function and its synchronism in type 2 diabetes mellitus.

关 键 词：糖尿病 2型 超声心动描记术 实时三维 左室心功能 左心室同步 

分 类 号：R445.1[医药卫生—影像医学与核医学]