心脏彩超在慢性阻塞性肺疾病合并肺动脉高压各主要动脉直径、右心室心肌做功指数等指标诊断中的临床价值探讨  

Clinical value of ultrasonic cardiogram in diagnosis of chronic obstructive pulmonary disease with pulmonary hypertension

作　　者：施艳玲 Shi Yanling(Department of Ultrasound,Hexi Hospital,Tianjin 300202,China)

机构地区：[1]天津市河西医院,天津300202

出　　处：《首都食品与医药》2023年第21期81-83,共3页Capital Food Medicine

摘　　要：目的探讨针对慢性阻塞性肺疾病合并肺动脉高压患者开展心脏彩超诊断的方法及其临床价值.方法将天津市河西医院2022年1月-2023年3月期间收治的慢性阻塞性肺疾病患者80例作为研究对象,依据是否合并肺动脉高压实施分组,合并者40例纳入研究组,未合并者40例纳入对照组,均接受心脏彩超检查,对比检测结果.结果研究组肺动脉收缩压平均值、肺动脉舒张压平均值、肺动脉直径、右心室心肌做功指数、右心室面积变化率均显著高于对照组(P<0.05),其三尖瓣环收缩期位移显著大于对照组(P<0.05).应用心脏彩超诊断其灵敏度为90.48%,特异度为94.83%,准确度为93.00%.结论针对慢性阻塞性肺疾病合并肺动脉高压患者予以心脏彩超检测,结果准确高效,可作为后续治疗的重要依据.Objective The paper discussed clinical value of heart color ultrasound(UGG)in diagnosis of chronic obstructive pulmonary disease with pulmonary hypertension.Methods 80 patients with chronic obstructive pulmonary disease from January 2022 to March 2023 were divided into study group(40 patients with pulmonary hypertension)and control group(40 patients without pulmonary hypertension),compared the effects.Results The average pulmonary arterial pressure,systolic blood pressure,diastolic blood pressure,pulmonary artery diameter,right ventricular myocardial work index,and right ventricular area change rate in the study group were significantly higher than those in the control group(P<0.05).The significance of tricuspid annulus systolic displacement in the study group was greater than that in the control group(P<0.05).Sensitivity,specificity and accuracy of UCG in diagnosis of chronic obstructive pulmonary were 90.48%,94.83%,93.00%,respectively.Conclusion For patients with chronic obstructive pulmonary disease and pulmonary hypertension,UCG is accurate and efficient,it is an important basis for further treatment.

关 键 词：心脏彩超 慢性阻塞性肺疾病 肺动脉高压 

分 类 号：R445.1[医药卫生—影像医学与核医学]