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目的分析心脏超声对高血压左心室肥厚伴左心衰竭患者的临床诊断效果。方法随机选取辽河油田总医院功能科2015年5月至2016年8月期间接诊的50例高血压左心室肥厚伴左心力衰竭患者为研究对象,设为观察组,同期选取40例健康体检者设为对照组,两组受试者均接受心脏超声检查,分析两组受试者的左心室舒张末期内径(LVEDd)、左心房内径(LADD)、二尖瓣口舒张早期最大血流速度(E)、二尖瓣舒张晚期最大血流速度(A)、左心射血分数(LVEF)等指标的变化情况。结果两组研究对象在LVEDd、LADD、LVEF方面差异无统计学意义(P>0.05);但观察组E/A比值较对照组E峰降低,A峰上升,差异有统计学意义(P<0.05)。结论针对高血压左心室肥厚伴左心力衰竭患者运用心脏超声检查,可有效判断出患者病情的严重程度,用于指导临床用药,进而提高治疗效果。
Objective To analyze the clinical diagnostic value of echocardiography in hypertensive patients with left ventricular hypertrophy and left ventricular failure. Methods Fifty hypertensive patients with left ventricular hypertrophy and left ventricular hypertrophy admitted from May 2015 to August 2016 in Lok Oilfield General Hospital were randomly selected as observation group and 40 healthy subjects As the control group, two groups of subjects were undergoing echocardiography, left ventricular end diastolic diameter (LVEDd), left atrial diameter (LADD), mitral early diastolic blood flow velocity ( E), mitral maximum late diastolic velocity (A), left ventricular ejection fraction (LVEF) and other indicators of changes. Results There was no significant difference in the LVEDd, LADD and LVEF between the two groups (P> 0.05). However, the E / A ratio of the observation group was lower than that of the control group, while the peak of A was increased with a significant difference (P <0.05 ). Conclusions The use of echocardiography in hypertensive patients with left ventricular hypertrophy and left heart failure can effectively determine the severity of the patient’s condition and guide clinical medication and thus improve the therapeutic effect.