超声评估丹红注射液对左心室同步性的价值  

The value of evaluation of Danhong injection on left ventricular synchrony by ultrasonography

作　　者：运宏飞 YUN Hong-fei(Department of Physical Examination,Tianjin Occupational Disease Prevention and Therapeutic Hospital(Tianjin Workers’Hospital),Tianjin 300011,China)

机构地区：[1]天津市职业病防治院(工人医院)物理检查科,天津300011

出　　处：《中国城乡企业卫生》2020年第9期37-40,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探讨应用超声组织同步成像(TSI)和定量组织速度成像(QTVI)技术联合检查丹红注射液对患者左心室同步性改善的价值。方法选取2015年6月-2016年12月在天津中医药大学第二附属医院心内二科住院治疗的稳定型心绞痛(血瘀型)患者36例。按就诊先后随机分为丹红组和对照组各18例。对照组给予西药常规治疗,丹红组在对照组基础上给予丹红注射液治疗。治疗前24 h内及治疗2周后行超声心动检查,检测并记录左室射血分数(LVEF),左室心肌收缩达峰值速度时间(Ts)及心肌运动时相参数。结果治疗后,两组LVEF均高于治疗前,且丹红组LVEF高于对照组,差异均有统计学意义(P<0.05)。两组治疗后Tei指数均低于治疗前,且丹红组Tei指数低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组轻度延迟和中重度延迟心肌节段计数占比均明显低于治疗前,且丹红组轻度延迟和中重度延迟心肌节段计数占比低于对照组,差异均有统计学意义(P<0.05)。丹红组治疗后Te-SD低于对照组,差异有统计学差异(P<0.05)。稳定型心绞痛患者LVEF与Tei指数呈负相关。结论采用TSI和QTVI检查发现,在西药治疗基础上联用丹红注射液对稳定型心绞痛患者左心室不同步运动有明显的改善作用,值得临床推广应用。Objective To investigate the value of the application of ultrasound tissue synchronization imaging(TSI) and quantitative tissue velocity imaging(QTVI) technology to check the improvement of left ventricular synchrony in patients with Danhong injection. Methods From June 2015 to December 2016,36 patients with stable angina pectoris(blood stasis type) were selected from the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine. They were randomly divided into Danhong group and control group with 18 cases in each group. The control group was given routine Western medicine treatment,while the Danhong group was given Danhong injection on the basis of the control group. Echocardiography was performed within 24 hours before treatment and 2 weeks after treatment. Left ventricular ejection fraction(LVEF),left ventricular myocardial contraction to peak velocity time(Ts) and myocardial movement phase parameters were detected and recorded. Results After treatment,LVEF of two groups were higher than before treatment,and LVEF of Danhong group was higher than that of control group,and the differences were statistically significant(P<0.05). Tei indexes of two groups after treatment were lower than those before treatment,and Tei index of Danhong group was lower than that of control group,and the differences were statistically significant(P <0.05). After treatment,the percentage of mild delayed and moderately severe delayed myocardial segment count in the two groups were significantly lower than those before treatment,while the percentage of mild delayed and moderately severe delayed myocardial segment count in the Danhong group were lower than those in the control group,and the differences were statistically significant(P<0.05). After treatment,Te-SD in Danhong group was lower than that in control group,and the differences was statistically significant(P<0.05). There was a negative correlation between LVEF and Tei index in patients with stable angina pectoris. Conclusion The results of TSI and QTVI show

关 键 词：稳定型心绞痛 组织同步成像 定量组织速度成像 

分 类 号：R445.1[医药卫生—影像医学与核医学]