彩色多普勒超声心动图对老年钙化性心脏瓣膜病的诊断价值分析  

Analysis of Diagnostic Value of Color Doppler Echocardiography for Calcified Valvular Heart Disease in the Elderly

作　　者：邱燕珍 欧德福 邱丽华 QIU Yanzhen;OU Defu;QIU Lihua(Ultrasound Department,Ganzhou Municipal Hospital,Ganzhou 341000,China;不详)

机构地区：[1]赣州市立医院超声科,江西赣州341000 [2]会昌县中医院超声科,江西会昌342600

出　　处：《中国医学创新》2024年第25期153-157,共5页Medical Innovation of China

基　　金：赣州市科技计划项目(20222ZDX8225)

摘　　要：目的:探讨彩色多普勒超声心动图在老年钙化性心脏瓣膜病(CVHD)诊断中的应用价值,评估其对心功能、心脏瓣膜受累情况、血流动力学变化的影响。方法:选择赣州市立医院2022年1月—2024年3月收治的53例老年CVHD患者作为研究组,另选同期50例健康体检志愿者作为对照组。所有研究对象均进行彩色多普勒超声心动图检查,测量左室舒张末期内径(LVDd)、左室射血分数(LVEF)、左房内径(LAD)等心功能指标,并评估心脏瓣膜受累情况及血流动力学变化。结果:研究组的LVDd、LAD明显均高于对照组,而LVEF显著低于对照组(P<0.05)。研究组主动脉瓣厚度、二尖瓣厚度均大于对照组,主动脉瓣强回声、主动脉瓣活动受限、二尖瓣强回声、二尖瓣增厚及腱索占比均高于对照组,差异均有统计学意义(P<0.001)。研究组主动脉瓣反流轻度、中度、重度及二尖瓣反流轻度、中度、重度占比均高于对照组,差异均有统计学意义(P<0.001)。结论:彩色多普勒超声心动图在老年钙化性心脏瓣膜病的诊断中具有重要价值,可有效评估心功能、心脏瓣膜受累情况及血流动力学变化,指导临床治疗,提高其生活质量。Objective:To investigate the application value of color Doppler echocardiography in the diagnosis of calcified valvular heart disease(CVHD)in the elderly,and to evaluate its influence on cardiac function,heart valve involvement and hemodynamic changes.Method:A total of 53 elderly patients with CVHD admitted to Ganzhou Municipal Hospital from January 2022 to March 2024 were selected as the study group,and 50 healthy volunteers who underwent physical examinations were selected as the control group during the same period.All subjects underwent color Doppler echocardiography,left ventricular end-diastolic diameter(LVDd),left ventricular ejection fraction(LVEF),left atrial diameter(LAD)and other cardiac function indicators were measured,and the involvement of heart valves and hemodynamic changes were evaluated.Result:LVDd and LAD in the study group were significantly higher than those in the control group,while LVEF was significantly lower than that in the control group(P<0.05).The aortic valve thickness and mitral valve thickness in the study group were higher than those in the control group,and the proportion of strong aortic echo,limited aortic motion,strong mitral echo,mitral thickening and tendinous cord were higher than those in the control group,the differences were statistically significant(P<0.001).The proportion of mild,moderate and severe aortic regurgitation and mitral regurgitation in the study group were higher than those in the control group,the differences were statistically significant(P<0.001).Conclusion:Color Doppler echocardiography is of great value in the diagnosis of CVHD in the elderly.It can effectively evaluate cardiac function,heart valve involvement and hemodynamic changes,guide clinical treatment,and improve the quality of life of patients.

关 键 词：钙化性心脏瓣膜病 彩色多普勒超声心动图 心功能 心脏瓣膜受累 血流动力学 

分 类 号：R540.45[医药卫生—心血管疾病] R542.5[医药卫生—内科学]