单纯高血压与高血压合并阵发性房颤患者心脏超声的临床特点比较  

Comparison of clinical characteristics of echocardiography in patients with simple hypertension and hypertension complicated with paroxysmal atrial fibrillation

作　　者：肖苑 万丹 Xiao Yuan;Wan Dan(The Second People's Hospital of Yichun City,Yichun,Jiangxi 336000)

机构地区：[1]宜春市第二人民医院,江西宜春336000

出　　处：《基层医学论坛》2022年第25期66-68,共3页The Medical Forum

基　　金：宜春市科技计划指导性项目(JXYC2021KSA091)。

摘　　要：目的分析比较单纯高血压与高血压合并阵发性房颤患者心脏超声的临床特点。方法抽选2020年1月—2020年12月宜春市第二人民医院收治的84例高血压患者,按疾病类型均分为2组,对照组(n=42)为单纯高血压患者,研究组(n=42)为高血压合并阵发性房颤患者。所有患者均接受心脏超声检查和测量,并采集血液标本进行生化指标检测。分析对比2组生化指标,包括舒张压、收缩压、总胆固醇、血尿素氮、甘油三酯、总胆红素;心脏超声相关指标,即左室射血分数(LVEF)、舒张期左室内径(LVIDd)、室间隔厚度(IVSd)、收缩期右房上下径(Rad)、收缩期左房前后径(Lad)、二尖瓣舒张早期心室快速充盈峰值速率/舒张末期心房收缩峰值速度值(E/A)。结果2组的舒张压、收缩压、总胆固醇、血尿素氮、甘油三酯、总胆红素比较差异无统计学意义(P>0.05)。研究组的Lad大于对照组(P<0.05);2组的Rad、LVIDd、LVEF比较差异无统计学意义(P>0.05);研究组的IVSd、E/A均高于对照组,差异有统计学意义(P<0.05)。结论高血压合并阵发性房颤的心脏超声临床特点主要为室间隔厚度增加、左心房明显扩大、二尖瓣反流现象明显,提示高血压可造成心脏结构发生变化。Objective To analyze and compare the clinical characteristics of echocardiography in patients with simple hypertension and hypertension complicated with paroxysmal atrial fibrillation.Methods 84 patients with hypertension in our hospital from January 2020 to December 2020 were selected and divided into two groups according to disease types.The control group(n=42)were all patients with simple hypertension.The study group(n=42)were hypertension patients with paroxysmal atrial fibrillation.All patients received cardiac ultrasound examination and measurement,and blood samples were collected for biochemical indicators.The following indexes were analyzed and compared between the two groups:biochemical indexes,including diastolic blood pressure,systolic blood pressure,total cholesterol,blood urea nitrogen,triglyceride and total bilirubin;The characteristics of echocardiography related indexes were left ventricular ejection fraction(LVEF),diastolic left ventricular diameter(LVIDd),interventricular septal thickness(IVSd),systolic right atrial superior inferior diameter(Rad),systolic left atrial anteroposterior diameter(Lad),peak ventricular rapid filling rate in early diastolic phase/peak atrial systolic velocity in end diastolic phase(E/A).Results There was no significant difference in diastolic blood pressure,systolic blood pressure,total cholesterol,blood urea nitrogen,triglyceride and total bilirubin between the two groups(P>0.05).The Lad value of the study group was higher than that of the control group(P<0.05);There was no significant difference in Rad,LVIDd and LVEF between the two groups(P>0.05);The IVSd and E/A values of the study group were higher than those of the control group(P<0.05).Conclusion The main clinical characteristics of hypertension with paroxysmal atrial fibrillation by echocardiography are the increase of ventricular septal thickness,the enlargement of left atrium and the obvious phenomenon of mitral regurgitation,which indicates that hypertension can cause the changes of cardiac structure.

关 键 词：高血压 阵发性房颤 心脏超声 二尖瓣返流 

分 类 号：R445.1[医药卫生—影像医学与核医学]