血管回声跟踪技术评价酒精性心肌病患者颈动脉血管弹性的价值  

The value of ultrasonic E-Tracking imaging in evaluating the carotid artery elasticity in patients with alcoholic cardiomyopathy

作　　者：王兵[1] 李佳子[1] 

机构地区：[1]安徽省合肥市第四人民医院超声科,安徽合肥230022

出　　处：《吉林医学》2016年第11期2658-2661,共4页Jilin Medical Journal

摘　　要：目的:应用血管回声跟踪(E-Tracking)技术检测酒精性心肌病(ACM)患者颈动脉弹性,并分析动脉弹性参数的变化以预测ACM患者早期病变。方法:ACM患者29例及正常对照组25例,常规颈动脉超声获取内-中膜厚度(IMT)、收缩期内径(Ds)、舒张期内径(Dd)、阻力指数(RI)、搏动指数(PI)、收缩期、舒张期比值(S/D)指标;应用E-Tracking技术获取弹性系数(Ep)、僵硬度(β)、顺应性(AC)、膨大指数(AI)、脉搏波传导速度(PWVβ)等弹性参数。比较两组常规超声指标及E-Tracking技术检测指标。结果:两组间常规超声检测指标差异无统计学意义(P>0.05),ACM组的Ep、β、AI、PWVβ明显高于对照组,差异有统计学意义(P<0.05),AC则明显低于对照组,差异有统计学意义(P<0.05)。结论:E-Tracking技术能无创、准确、定量检测颈动脉弹性,为临床评价ACM患者早期动脉功能变化提供了一种新的方法。Objective To evaluate the carotid elasticity in patients with alcoholic cardiomyopathy（ACM） by echo-tracking technique,and to predict early lesions in patients with ACM. Method 29 patients with ACM and normal control group of 25 healthy were examined. The conventional ultrasonography index（IMT,d,RI,PI,S/D）,ET technologies elastic parameters（Ep,β,AC,AI,PWVβ） were obtained in the two groups. Compare with the control group parameters. Results There were no significant differences in the conventional ultrasonography index between the two groups（P〉0. 05）,Compare with the control group,The Ep,β,AI,PWVβ were significantly increased in ACM Group（P〈0. 05）,the AC was significantly decreased than the control group（P〈0. 05）. Conclusion E-Tracking technology provide non-invasive,accurate and quantitative detection method to obtain carotid elastic parameters,and arterial elastic functin have important clinical value in patients with ACM.

关 键 词：酒精性心肌病 超声 血管回声跟踪技术 颈动脉弹性 

分 类 号：R542.2[医药卫生—心血管疾病] R445.1[医药卫生—内科学]