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目的分析研究高血压左室肥厚伴左心衰竭的心脏彩超检查意义。方法选取50例高血压左室肥厚伴左心衰竭患者作为观察组;另选同期健康体检的正常者50例作为对照组。两组患者均接受心脏彩超检查,比较两组各项心功能检测指标。结果观察组患者左室舒张末期内径(LVEDD)、左房内径(LAD)、二尖瓣舒张早期的血流峰值速度(E)与二尖瓣环舒张早期运动峰值速度(Ea)的比值(E/Ea)均显著高于对照组,而左心室射血分数(LVEF)显著低于对照组,差异具有统计学意义(t=5.631、8.859、9.180、5.270,P<0.05)。结论通过心脏彩超检查高血压左室肥厚伴左心衰竭的操作简便、可行性强,有利于病情严重程度的评估,值得临床推广应用。
Objective To analyze the significance of cardiac echocardiography in diagnosing left ventricular hypertrophy and left ventricular hypertrophy in hypertensive patients. Methods Fifty hypertensive patients with left ventricular hypertrophy and left ventricular failure were selected as the observation group. Another 50 normal subjects were selected as the control group. Two groups of patients underwent echocardiography, heart function tests were compared between the two groups. Results The ratio of left ventricular end-diastolic diameter (LVEDD), left atrium diameter (LAD), peak mitral early diastolic velocity (E) and early diastolic mitral annulus velocity (Ea) in observation group (E / Ea) were significantly higher than those in the control group, while the left ventricular ejection fraction (LVEF) was significantly lower than the control group (t = 5.631,8.859,9.180,5.270, P <0.05). Conclusions The echocardiographic examination of hypertensive left ventricular hypertrophy with left ventricular failure is simple, feasible and helpful to evaluate the severity of the disease and is worthy of clinical application.