围产期心肌病的治疗及超声左室功能评估  

The Treatment of Peripartum Cardiomyopathy and the Evaluation on Ultraphenic Lefe Uentricular Cardiac Function

作　　者：王林蝶 任国秀[1] 

机构地区：[1]天水市中医医院,甘肃天水740000

出　　处：《中国初级卫生保健》2014年第11期44-46,共3页Chinese Primary Health Care

摘　　要：目的利用彩色多普勒超声心动图左室心功能容积参数对中西医结合治疗围产期心肌病(PPCM)左室心功能进行评估。方法采用超声心动图左室心功能容积参数对50例PPCM患者左室心功能进行回顾性分析,采用随机分组对照试验法将50例患者分为对照组和观察组,每组各25例;同时选择正常组20例,分别于治疗前及治疗后15天采用彩色多普勒超声测量左室心功能参数,并加以比较。结果治疗前观察组、对照组左室心功能参数与正常组比较,差异有高度显著性,P<0.01;治疗后观察组、对照组左心室舒张期内径(LVD)、左心房舒张期内径(LAD)、右心室舒张期内径(RVD)、右心房舒张期内径(RAD)、室间隔厚度(IVS)、左室后壁厚度(LVPWD)及EF与治疗前相比,差异有高度显著性,EF值比较有统计学意义,P<0.01;观察组与正常组比较,各项参数差异没有统计学意义,P>0.01。结论借助超声心动图检查可以早期诊断PPCM;早期诊断和治疗PPCM对预后有重要意义。OBJECTIVE To use color Doppler ultrasound Heartbeat left ventricular function parameters with the volume of left ventricular function in patients with perinatal evaluation and analysis of traditional Chinese medicine and western medicine of peripartum eardiomyopathy（PPCM） ultrasound features, explore the left ventricular function parameters on the value assessment in the volume of left ventricular function of myocardial disease. METHOD Ultrasonic heartbeat left ventricular function parameters of left ventricular volume in 50 cases of patients with PPCM cardiac function were retrospectively analyzed, using a randomized controlled trial of 50 patients were randomly divided into control group and observation group, 25 patients in each group; and 20 cases of normal group, in the ultrasonic measurement of atrial, ventrieular systolic colour Doppler used 15 days before and after the treatment period（diastol- ic） diameter, and a comparison. RESULTS The observation group and control group, left ventricular compared with the normal group, the difference was significant, P〈0.01; after treatment, for the observation group and control group, left ventricular diastolic diameter（LVD）, left atrial diastolic inner diameter（LAD）, fight ventricular diastolic diameter（RVD）, fight atrial diastolic inner diameter（RAD）, IVS, LVPWD and EF compared with before treatment, the difference was highly significant, EF value is statistical significance, P〈0.01; observation group compared with the normal group, the parameters of the difference was not statistically significant, P〉0.01. CONCLUSION Ultrasound heartbeat graph examination can diagnose PCM early; early diagnosis and treatment of PCM had great significance to prognosis.

关 键 词：左室心功能容积参数 围产期心肌病 超声心动图 

分 类 号：R186[医药卫生—流行病学]