超声心动图参数对择期PCI治疗冠心病患者预后的预测价值分析  

Analysis of the predictive value of echocardiographic parameters on the prognosis of patients with coronary artery disease treated by elective PCI

作　　者：姜飞 JIANG Fei(Electrodiagnosis Department,Liaoyang Liaohua Hospital,Liaoyang 111003,China)

机构地区：[1]辽阳辽化医院电诊科,111003

出　　处：《中国实用医药》2023年第7期77-80,共4页China Practical Medicine

摘　　要：目的探讨超声心动图参数对择期经皮冠状动脉介入术(PCI)治疗冠心病患者预后的预测价值。方法选取60例择期PCI治疗的冠心病患者作为观察组,另选取60例健康体检者作为对照组。两组均行超声心动图检查,比较两组超声心动图参数,观察组治疗前后超声心动图参数,不同预后患者的超声心动图参数。结果观察组左心室舒张末期容积(102.32±20.15)ml、左心室收缩末期容积(48.24±8.12)ml、左心室收缩末期容积指数(38.16±7.44)ml/m^(2)、左心室舒张末期容积指数(83.56±14.18)ml/m^(2)均高于对照组的(91.72±18.56)ml、(43.12±7.68)ml、(34.12±6.45)ml/m^(2)、(75.78±12.24)ml/m^(2),左心室射血分数(51.78±10.15)%、心输出量(5.13±0.42)L/min及心脏指数(2.92±0.46)L/(min·m^(2))均低于对照组的(57.16±8.42)%、(5.41±0.44)L/min、(3.21±0.54)L/(min·m^(2)),差异有统计学意义(P<0.05)。治疗后,观察组左心室舒张末期容积(94.78±19.15)ml、左心室收缩末期容积(45.18±7.32)ml、左心室收缩末期容积指数(35.52±6.72)ml/m^(2)、左心室舒张末期容积指数(78.56±12.27)ml/m^(2)均低于治疗前的(102.32±20.15)ml、(48.24±8.12)ml、(38.16±7.44)ml/m^(2)、(83.56±14.18)ml/m^(2),左心室射血分数(55.32±8.68)%、心输出量(5.30±0.48)L/min及心脏指数(3.10±0.52)L/(min·m^(2))均高于治疗前的(51.78±10.15)%、(5.13±0.42)L/min、(2.92±0.46)L/(min·m^(2)),差异有统计学意义(P<0.05)。观察组患者术后发生不良事件(预后不良组)20例,未发生不良事件(预后良好组)40例;预后不良组发生9例再梗死、7例心律失常和4例心力衰竭。预后不良组左心室舒张末期容积(101.18±20.32)ml、左心室收缩末期容积(47.14±8.32)ml、左心室收缩末期容积指数(36.56±7.12)ml/m^(2)、左心室舒张末期容积指数(82.52±13.48)ml/m^(2)高于预后良好组的(91.78±14.15)ml、(43.18±6.48)ml、(32.82±6.54)ml/m^(2)、(74.56±14.57)ml/m^(2),左心室射血分数(52.28±9.75)%、心�Objective To discuss the predictive value of echocardiographic parameters on the prognosis of patients with coronary artery disease treated by elective percutaneous coronary intervention(PCI).Methods 60 patients with coronary artery disease treated by elective PCI were selected as the observation group,and another 60 healthy physical examiners were selected as the control group.Echocardiography was performed in both groups.Comparison was made on echocardiographic parameters between the two groups,echocardiographic parameters before and after treatment,as well as echocardiographic parameters of patients with different prognosis in the observation group.Results The observation group had left ventricular end-diastolic volume of(102.32±20.15)ml,left ventricular end-systolic volume of(48.24±8.12)ml,left ventricular end-systolic volume index of(38.16±7.44)ml/m^(2),and left ventricular end-diastolic volume index of(83.56±14.18)ml/m^(2),which were higher than those of(91.72±18.56)ml,(43.12±7.68)ml,(34.12±6.45)ml/m^(2),and(75.78±12.24)ml/m^(2) in the control group;the left ventricular ejection fraction of(51.78±10.15)%,cardiac output of(5.13±0.42)L/min and cardiac index of(2.92±0.46)L/(min·m^(2))in the observation group were lower than those of(57.16±8.42)%,(5.41±0.44)L/min and(3.21±0.54)L/(min·m^(2))in the control group;the differences were statistically significant(P<0.05).After treatment,the observation group had left ventricular end-diastolic volume of(94.78±19.15)ml,left ventricular end-systolic volume of(45.18±7.32)ml,left ventricular end-systolic volume index of(35.52±6.72)ml/m^(2),and left ventricular end-diastolic volume index of(78.56±12.27)ml/m^(2),which were all lower than those of(102.32±20.15)ml,(48.24±8.12)ml,(38.16±7.44)ml/m^(2),and(83.56±14.18)ml/m^(2) before treatment;in the observation group,the left ventricular ejection fraction of(55.32±8.68)%,cardiac output of(5.30±0.48)L/min and cardiac index of(3.10±0.52)L/(min·m^(2))after treatment were higher than those of(51.78±10.15

关 键 词：超声心动图 经皮冠状动脉介入术 冠心病 心脏指数 预后 

分 类 号：R541.4[医药卫生—心血管疾病]