超声心动图评价妊娠期高血压疾病患者左心室舒张功能在早期心衰的应用价值  

Value of Echocardiography in Evaluating Left Ventricular Diastolic Function in Early Heart Failure in Patients with Gestational Hypertension

作　　者：韦少平 邱鹏远 曾文苑 林桂粧 陈国 刘庆初 何燕红 冯杏玲 何丽 冼淑晶 WEI Shao-ping;QIU Peng-yuan;ZENG Wen-yuan;LIN Gui-zhuang;CHEN Guo;LIU Qing-chu;HE Yan-hong;FENG Xing-ling;HE Li;XIAN Shu-jing(Functional Department,Fourth People’s Hospital of Nanhai District,Foshan City,Guangdong Foshan 528211)

机构地区：[1]佛山市南海区第四人民医院功能科,广东佛山528211

出　　处：《中国医疗器械信息》2024年第15期111-113,共3页China Medical Device Information

基　　金：2022年度佛山市卫生健康局医学科研课题(项目名称:超声心动图评价妊娠期高血压疾病患者左心室舒张功能在早期心衰的应用价值,项目编号:20220085)。

摘　　要：目的:通过超声心动图评价妊娠期高血压疾病患者左心室舒张功能在早期心衰的应用价值。方法:选取2022年1月~2023年6月于本院就诊的妊娠期高血压患者100例为观察组,选取同期在本院门诊检查或住院待产的血压正常孕妇100例为对照组,进行对照试验。所有患者均应用超声心动图评价左心室舒张功能,探究在早期心衰的应用价值。结果:观察组的左心房最大容积指数、平均E/e'比值、三尖瓣反流峰值速度均显著高于对照组(P<0.05),观察组的二尖瓣环室间隔心肌舒张早期速度e’、二尖瓣环左室侧壁心肌舒张早期速度e’均显著低于对照组(P<0.05)。超声心动图的敏感度为92.00%、特异度为96.00%、阳性预测率为92.93%、阴性预测率为92.31%、假阳性率为4.00%和假阴性率为8.00%。结论:妊娠期高血压疾病患者应用超声心动图能够较为准确地评估左心室舒张功能异常,早期进行干预性治疗,预防早期心衰。Objective:To evaluate the application value of left ventricular diastolic function in patients with hypertensive disorder complicating pregnancy in the early stage of heart failure by echocardiography.Methods:This research experiment is a control experiment type,and the experimental research time is from January 2022 to June 2023.Among them,100 cases of patients with hypertensive disorder complicating pregnancy in the experimental area are selected as the observation group,and 100 cases of pregnant women with normal blood pressure who have been examined in our hospital or hospitalized for childbirth in the same period are selected as the control group.The left ventricular diastolic function is evaluated by echocardiography to explore the application value in early heart failure.Results:The left atrial maximum volume index,average E/e'ratio,and tricuspid regurgitation peak velocity in the observation group were significantly higher than those in the control group(P<0.05).The mitral annulus and interventricular septal myocardial early diastole in the observation group The velocity e'and the early diastolic velocity e'of the left ventricular lateral wall of the mitral valve annulus were significantly lower than those in the control group(P<0.05).The sensitivity,specificity,positive predictive rate,negative predictive rate,false positive rate and false negative rate of echocardiography were 92.00%,96.00%,92.93%,92.31%,4.00%and 8.00%,respectively.Conclusion:The application of echocardiography in patients with hypertensive disorder complicating pregnancy can accurately evaluate the abnormal left ventricular diastolic function,and early intervention treatment can prevent early heart failure.

关 键 词：超声心动图 妊娠期高血压疾病患者 左心室舒张功能 心衰 

分 类 号：R445.1[医药卫生—影像医学与核医学]