不同年龄老年心肌梗死患者心脏超声临床诊断效果分析  

Analysis of clinical diagnostic efficacy of cardiac ultrasound in elderly patients with myocardial infarction of different age

作　　者：许风华 任玉锋 XU Fenghua;REN Yufeng(Department of Ultrasound,Liaocheng Dongchangfu district maternal and child health hospital,Liaocheng,Shandong 252000,China;Department of Ultrasound,Liaocheng Dongchangfu District Hospital of Traditional Chinese Medicine,Liaocheng,Shandong 252000,China)

机构地区：[1]聊城市东昌府区妇幼保健院超声科,山东聊城252000 [2]聊城市东昌府区中医院超声科,山东聊城252000

出　　处：《影像研究与医学应用》2024年第12期33-35,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨不同年龄老年心肌梗死患者心脏超声的临床诊断效果。方法:选取2020年12月—2023年12月聊城市东昌府区妇幼保健院收治的50例老年心肌梗死患者,按照不同年龄段分为两组,对照组25例(年龄60~79岁),观察组25例(年龄≥80岁),均行心脏超声诊断,对比两组冠状动脉病变支数、狭窄程度、心脏相关并发症发生情况、LVEF、E/A、左心房内径及右心室内径。结果:两组患者冠状动脉病变支数对比,差异有统计学意义(P<0.05)。观察组患者的狭窄程度大于对照组,差异有统计学意义(P<0.05)。观察组心脏相关并发症发生率高于对照组,差异有统计学意义(P<0.05)。观察组LVEF<50%、E/A<1、左心房内径≥39 mm、右心室内径≥39 mm的比例高于对照组,而LVEF≥50%、EA≥1、左心房内径<39 mm、右心室内径<39 mm的比例低于对照组,差异有统计学意义(P<0.05)。结论:心脏超声检查对老年心肌梗死患者的诊断效果随着患者年龄的增大,其诊断价值越高,尤其80岁以上患者诊断效果更佳。Objective To explore the clinical diagnostic effect of cardiac ultrasound in elderly patients with myocardial infarction of different ages.Methods A total of 50 elderly patients with myocardial infarction admitted to Liaocheng Dongchangfu district maternal and child health hospital from December 2020 to December 2023 were selected and divided into two groups according to different age groups.25 patients in the control group were(60-79 years old),and 25 patients in the observation group were(≥80 years old).All patients underwent cardiac ultrasound diagnosis.The number of coronary artery lesions,degree of stenosis,incidence of heart-related complications,LVEF,E/A,left atrial diameter and right ventricular diameter of the two groups were compared.Results The difference in the number of coronary artery lesions between the two groups of patients was statistically significant(P<0.05).The degree of stenosis in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05).The incidence of cardiac related complications in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The proportion of LVEF<50%,E/A<1,left atrial diameter≥39 mm,and right ventricular diameter≥39 mm in the observation group was higher than that in the control group,while the proportion of LVEF≥50%,EA≥1,left atrial diameter<39 mm,and right ventricular diameter<39 mm was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The diagnostic value of echocardiography in elderly patients with myocardial infarction increases with age,especially in patients over 80 years old.

关 键 词：年龄 老年心肌梗死 心脏超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]