无创心输出量测定仪联合超声心动图在心脏瓣膜病评估中的应用研究  

The Synergistic Effect of Non-invasive Cardiac Output Measurement and Echocardiography in the Evaluation of Heart Valve Diseases

作　　者：林江波 徐雯[1] 阴艳萍[1] Lin Jiangbo;Xu Wen;Yin Yanping(Zhejiang Taizhou Hospital,Zhejiang Taizhou 317000,China)

机构地区：[1]浙江省台州医院,浙江台州317000

出　　处：《医疗装备》2024年第5期5-8,共4页Medical Equipment

基　　金：台州科技计划项目(21ywa02)。

摘　　要：目的探讨无创心输出量测定仪联合超声心动图在心脏瓣膜病中的作用。方法回顾性分析2023年7—11月医院诊断考虑心脏瓣膜病的患者200例,所有患者均应用无创心输出量测定仪与超声心动图进行检测,计算超声心动图联合无创心输出量测定仪测定的CO值及诊断准确率,并统计超声心动图联合无创心输出量测定仪诊断二尖瓣、三尖瓣以及主动脉瓣狭窄、关闭不全的实际情况。结果超声心动图联合无创心输出量仪测定CO值明显高于超声心动图单独检测的CO值,差异有统计学意义(P<0.05)。超声心动图对心脏瓣膜病的诊断准确率为93.00%,超声心动图联合无创心输出量进行测定心脏瓣膜病的诊断准确率为99.00%。超声心动图联合无创心输出量仪测定的诊断准确率明显高于超声心动图,差异有统计学意义(P<0.05)。除二尖瓣、三尖瓣关闭不全外,其他狭窄与关闭不全情况下,无创心输出量测定仪联合超声心动图联合的准确率均高于超声心动图,差异有统计学意义(P<0.05)。结论无创心输出量测定仪联合和超声心动图检测诊断准确率高,可精确获得CO值,有效检测二尖瓣、三尖瓣和主动脉瓣膜的狭窄或关闭不全。Objective To explore the effect of non-invasive cardiac output measurement and echocardiography in the evaluation of heart valve diseases.Methods A retrospective analysis was conducted on 200 patients diagnosed with valvular heart disease in the hospital from July to November in 2023.All patients underwent non-invasive cardiac output measurement and coordinated detection with echocardiography.Computational echocardiography combined with non-invasive cardiac output measurement instrument.Determine the CO value and diagnostic accuracy,and statistically analyze the diagnosis of mitral and tricuspid valves using echocardiography combined with non-invasive cardiac output measurement equipment.And the actual situation of aortic valve stenosis and regurgitation.Results CO value and diagnostic accuracy of echocardiography combined with cardiac output measurement instrument were compared,and statistically analyze the diagnosis of mitral valve,tricuspid valve,and aortic valve stenosis and regurgitation using echocardiography combined with non-invasive cardiac output measurement instrument.The CO value measured by echocardiography combined with non-invasive cardiac output was significantly higher than that measured by echocardiography,and the difference was statistically significant(P<0.05).The diagnostic accuracy of echocardiography for valvular heart disease was 93.00%,and the synergistic effect of echocardiography and non-invasive cardiac output measurement for valvular heart disease was 99.00%.The diagnostic accuracy of echocardiography combined with non-invasive cardiac output measurement was significantly higher than that of echocardiography,and the difference was statistically significant(P<0.05).Excepted for mitral and tricuspid regurgitation,the accuracy of non-invasive cardiac output measurement combined with echocardiography was higher than that of echocardiography in cases of stenosis and regurgitation,and the difference was statistically significant(P<0.05).Conclusion The combination of cardiac output measureme

关 键 词：无创心输出量测定仪 超声心动图 心脏瓣膜疾病 

分 类 号：R541.4[医药卫生—心血管疾病]