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目的:探讨超声心动图对糖尿病肾病患者心血管病变的诊断价值及临床意义。方法:选择60例糖尿病肾病患者,将其编为观察组,选取40例同期健康体检者,将其编为对照组,采用彩色Doppler超声心动仪检查两组患者的心脏结构及功能,并作统计学分析。结果:观察组患者的室间隔厚度(IVS)、左心室后壁厚度(LVPW)、左心室重量(LVM)及左心房前内径(LAD)几项指标明显较对照组增加,而E/A比值及左心射血分数(LVEF)明显较对照组降低,差异具有统计学意义(P<0.05)。结论:糖尿病肾病患者的心脏结构和功能往往已经发生一定程度的改变,通过超声心动图可清晰看到这些改变,这说明糖尿病肾病患者应在早期控制血糖,延缓心脏病变的进展。
Objective: To investigate the diagnostic value and clinical significance of echocardiography in patients with diabetic nephropathy. Methods: Sixty diabetic patients with diabetic nephropathy were selected and divided into observation group. Forty healthy subjects were enrolled in the study. Their color and Doppler echocardiography were used to examine the cardiac structure and function of the two groups. Analysis. Results: The scores of interventricular septum thickness (IVS), left ventricular posterior wall thickness (LVPW), left ventricular mass (LVM) and anterior chamber anterior descending diameter (LAD) in the observation group were significantly higher than those in the control group And left ventricular ejection fraction (LVEF) were significantly lower than the control group, the difference was statistically significant (P <0.05). CONCLUSIONS: The cardiac structure and function of patients with diabetic nephropathy often have some degree of change that can be clearly seen by echocardiography, suggesting that patients with diabetic nephropathy should control blood glucose early and delay the progression of heart disease.