额面QRS-T夹角与急性肺栓塞患者治疗效果的相关性  

Correlation between frontal QRS-T angle and therapeutic efficacy in patients with acute pulmonary embolism

作　　者：王春芳 王佳[1] 王建[1] Wang Chunfang;Wang Jia;Wang Jian(Department of Cardiology,Affiliated Hospital of Binzhou Medical University,Binzhou 256600,Shandong Province,China)

机构地区：[1]滨州医学院附属医院心内科,256600

出　　处：《中华老年心脑血管病杂志》2024年第5期531-534,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：滨州医学院科技计划项目(BY2019KYQD41)。

摘　　要：目的探讨额面QRS-T夹角(fQRS-T)与急性肺栓塞(APE)患者治疗效果的相关性。方法回顾性选取2019年11月至2023年2月滨州医学院附属医院心内科收治的APE患者140例,根据治疗效果分为有效组99例,无效组41例。分析2组一般临床资料、超声心动图[三尖瓣环平面收缩偏移(TAPSE)、右心房横径、右心房纵径、肺动脉收缩压(PASP)等]和心电图检查结果。采用logistic回归分析影响治疗效果的相关因素。结果有效组舒张压和TAPSE明显高于无效组,心率、右心房横径、右心房纵径、PASP、fQRS-T明显低于无效组,差异有统计学意义(P<0.05,P<0.01)。多因素logistic回归分析显示,TAPSE(OR=1.406,95%CI:1.000~1.158,P=0.048)、PASP(OR=0.909,95%CI:0.852~0.969,P=0.003)、fQRS-T(OR=0.946,95%CI:0.901~0.993,P=0.025)是APE患者治疗效果的影响因素。结论心电图指标fQRS-T与APE患者治疗效果具有相关性,可以作为临床评估APE治疗效果的指标。Objective To explore the correlation between frontal QRS-T angle(fQRS-T)and therapeutic efficacy for acute pulmonary embolism(APE).Methods A total of 140APE patients admitted our department from November 2019to February 2023were retrospectively enrolled,and according to clinical outcome,they were divided into effective group(99cases,recovered and improved)and ineffective group(41cases,continued and deteriorated).The general clinical data,echocardiographic parameters[tricuspid annular plane contraction deviation(TAPSE),right atrial transverse diameter,right atrial longitudinal diameter,pulmonary artery systolic pressure(PASP)]and electrocardiogram(ECG)were analyzed in the two groups.Logistic regression model was used to analyze the related factors affecting the treatment efficacy.Results The diastolic blood pressure and TAPSE were significantly higher,while the heart rate,transverse diameter of right atrium,longitudinal diameter of right atrium,PASP and fQRS-T were notably lower in the effective group than the ineffective group(P<0.05,P<0.01).Logistic regression analysis showed that TAPSE(OR=1.406,95%CI:1.000-1.158,P=0.048),PASP(OR=0.909,95%CI:0.852-0.969,P=0.003)and fQRS-T(OR=0.946,95%CI:0.901-0.993,P=0.025)were influencing factors for clinical outcome in APE patients.Conclusion FQRS-T is correlated with the therapeutic efficacy for APE,and can be used as an indicator to evaluate the therapeutic efficacy.

关 键 词：肺栓塞 治疗 数据相关性 LOGISTIC模型 超声心动描记术 心电描记术 额面QRS-T夹角 

分 类 号：R563.5[医药卫生—呼吸系统]