心脏彩超在慢性阻塞性肺疾病合并肺动脉高压病情评估中的价值  

Value of echocardiography in the disease assessment of chronic obstructive pulmonary disease complicated with pulmonary hypertension

作　　者：朱琳 刘毅[1] ZHU Lin;LIU Yi(Ankang Central Hospital,Ankang 725000,China)

机构地区：[1]安康市中心医院,陕西安康725000

出　　处：《临床医学研究与实践》2022年第30期110-112,共3页Clinical Research and Practice

摘　　要：目的探究心脏彩超在慢性阻塞性肺疾病(COPD)合并肺动脉高压(PH)病情评估中的价值。方法选取2019年1月至2020年12月收治的100例COPD患者作为研究对象,根据是否存在PH将其分为试验组(n=41,合并PH)和对照组(n=59,未合并PH)。两组均给予心脏彩超检查。比较两组的肺动脉血管压、肺动脉直径、右心功能;分析心脏彩超诊断COPD合并PH的价值。结果试验组的肺动脉压平均值、肺动脉舒张压高于对照组,右肺动脉直径、主肺动脉直径大于对照组,差异具有统计学意义(P<0.05)。试验组的右室心肌做功指数、右心室面积变化率高于对照组,三尖瓣环收缩期位移大于对照组,右心室射血分数低于对照组,差异具有统计学意义(P<0.05)。以病理诊断作为金标准,心脏彩超诊断COPD合并PH的灵敏度、特异度、准确度、阴性预测值、阳性预测值分别为90.24%、94.92%、93.00%、93.33%、92.50%。结论心脏彩超在COPD合并PH患者的病情评估中有着较高的价值,可为疾病的诊治提供参考依据。Objective To explore the value of echocardiography in the disease assessment of chronic obstructive pulmonary disease(COPD)with pulmonary hypertension(PH).Methods A total of 100 patients with COPD admitted from January 2019 to December 2020 were selected as the research objects.According to the presence or absence of PH,the patients were divided into experimental group(n=41,with PH)and control group(n=59,without PH).Both groups were given echocardiography.The pulmonary artery pressure,pulmonary artery diameter and right heart function were compared between the two groups;the value of echocardiography in the diagnosis of COPD with PH was analyzed.Results The mean pulmonary artery pressure and pulmonary artery diastolic pressure in the experimental group were higher than those in the control group,the right pulmonary artery diameter and main pulmonary artery diameter were larger than those in the control group,and the differences were statistically significant(P<0.05).The right ventricular myocardial work index and right ventricular area change rate of the experimental group were higher than those of the control group,the tricuspid annulus systolic displacement was greater than that of the control group,the right ventricular ejection fraction was lower than that of the control group,and the differences were statistically significant(P<0.05).Taking pathological diagnosis as the gold standard,the sensitivity,specificity,accuracy,negative predictive value and positive predictive value of echocardiography in the diagnosis of COPD complicated with PH were 90.24%,94.92%,93.00%,93.33%and 92.50%,respectively.Conclusion Echocardiography has a high value in the disease assessment of patients with COPD and PH,which can provide reference for the diagnosis and treatment of the disease.

关 键 词：心脏彩超 慢性阻塞性肺疾病 肺动脉高压 

分 类 号：R563.9[医药卫生—呼吸系统]