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目的探讨超声心动图在老年高血压性心脏病的临床应用价值。方法选取60～80岁高血压组患者37例,同年龄段非高血压组24例作对照,应用彩色多普勒超声对心脏进行探测,检查结果与非高血压组对照分析。结果老年高血压组与非高血压组比较,心脏室间隔(IVS)、左室后壁(LVPW)明显增厚(P<0.01),左房(LA)增大、主动脉(AO)扩张(P<0.01),E/A明显减低,差异有统计学意义(P<0.05)。结论超声心动图可作为老年高血压性心脏病的常规检查方法,对临床更准确地了解老年高血压患者心脏结构和功能的变化具有重要的诊断价值。
Objective To investigate the clinical value of echocardiography in elderly hypertensive heart disease. Methods Totally 37 hypertensive patients from 60 to 80 years old and 24 non-hypertensive patients from the same age group were selected as control. The heart was detected by color Doppler sonography. The results were compared with the non-hypertension group. Results Compared with nonhypertensives, IVS and LVPW were significantly increased (P <0.01), left atrium (LA) increased, aorta (AO) dilated P <0.01), E / A decreased significantly, the difference was statistically significant (P <0.05). Conclusion Echocardiography can be used as a routine examination method for senile hypertensive heart disease, which has important diagnostic value for understanding the changes of cardiac structure and function in senile patients with hypertension more accurately.