经胸超声心动图对拉萨世居藏族与移居汉族高原性心脏病的对照研究  

A control study on the high-altitude heart disease of Tibetan and Han nationality in Lhasa area by transthoracic echocardiography

作　　者：史建玲[1] 银武[2] 张一休[3] 尼玛玉珍[2] 刘海鹏[2] SHI Jianling;YIN Wu;ZHANG Yixiu;NIMA Yuzhen;LIU Haipeng(University of Tibet Medical School,Lhasa 850000,P.R.China;Department of Radiology,Tibet Autonomous Region People＇s Hospital,Lhasa 850000,P.R.China;Department of Ultrasound,Peking Union Medical College Hospital,Beijing 100730,P.R.China)

机构地区：[1]西藏大学医学院,西藏拉萨850000 [2]西藏自治区人民医院影像科,西藏拉萨850000 [3]北京协和医院超声科,北京100730

出　　处：《医学影像学杂志》2018年第5期737-740,共4页Journal of Medical Imaging

基　　金：西藏大学研究生高水平人才培养项目(编号:2015-GSP-065)

摘　　要：目的研究西藏拉萨地区相同居住海拔的(世居藏族与移居汉族人群高原性心脏病的超声心动图特点。方法分析经西藏自治区人民医院心内科诊断为高原性心脏病的45例拉萨地区患者,将其分为世居藏族与移居汉族两组。45例患者均行超声心动图检查,观察右室内径及肺动脉收缩压等指标。结果两组对照,右室内径差异有统计学意义(P<0.05),肺动脉收缩压差异无统计学意义(P>0.05)。结论民族背景为高原性心脏病右室大小(右心衰竭形态学指标)的影响因素,肺动脉收缩压与民族无明显相关性。Objective To study the difference between tibetan high-altitude heart disease（HAHD） patients and Han HAHD patients from Lhasa by transthoracic echocardiography（TTE）. Methods Forty-five HAHD patients from Lhasa area diagnosed in the department of cardiology in the tibet autonomous region people＇s hospital between April 2015 and April 2017 were included in this study. All patients were divided into two groups of tibetan and han. All cases were examined by TTE. The right ventricular diameter and pulmonary arterial systolic pressure（PASP） of two groups were compared. Results There was a statistically significant difference in right ventricular diameter between two groups（P〈0. 05）. There was no significant difference in PASP（P〈0. 05）. Conclusion The nationality is an influencing factor for the right ventricular diameter（the morphological indicators of right ventricular dysfunction） in HAHD patients from the same altitude areas.

关 键 词：超声心动图描记术 经胸 高原性心脏病 右室内径 肺动脉收缩压 

分 类 号：R445.1[医药卫生—影像医学与核医学] R541[医药卫生—诊断学]