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《心衰超聲指數(shù)評(píng)價(jià)左室射血分?jǐn)?shù)正常心衰的應(yīng)用價(jià)值》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、心衰超聲指數(shù)評(píng)價(jià)左室射血分?jǐn)?shù)正常心衰的應(yīng)用價(jià)值李金芳1張志新2韓冰1(1山東省威海市立醫(yī)院山東威海264200)(2中國人民解放軍四零四醫(yī)院心臟中心山東威海264000)【摘要】目的：采用綜合超聲心動(dòng)圖多項(xiàng)參數(shù)的心衰超聲指數(shù)來評(píng)價(jià)左室射血分?jǐn)?shù)正常心衰(HFNEF)患者的心功能。資料與方法：選取2014年6月至2015年10月山東省威海市立醫(yī)院心內(nèi)科HFNEF患者60例(HFNEF組)和正常門診患者60例(對(duì)照組)，所有入選者均采用心衰超聲指數(shù)進(jìn)行評(píng)分，并將該評(píng)分與同期NT-BNP檢測結(jié)果及紐約心功能分級(jí)進(jìn)行比較。結(jié)果：心衰超聲指數(shù)在HFN
2、EF組明顯高于對(duì)照組(P<0.01),且隨著紐約心功能分級(jí)的升高而升高，心功能II、III、IV級(jí)患者的心衰超聲指數(shù)值分別為2.11±0.90、3.34±0.97、5.33±1.60o相關(guān)性分析表明心衰超聲指數(shù)與NT-BNP高度相關(guān)(r=0.92)。結(jié)論:心袞超聲指數(shù)能夠準(zhǔn)確判斷心力衰竭分級(jí)，且與BNP具有良好相關(guān)性，是判斷心力衰竭病情及預(yù)后的理想指標(biāo)?！娟P(guān)鍵詞】心力衰竭，心衰超聲指數(shù)；氨基末端腦鈉肽前體【中圖分類號(hào)】R541【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】1007-8231(2015)13-0115
3、-03Assessthevalueofheartfailureechocardiographyindexforheartfailurewithnormalleftventricularejectionfraction(HFNEF)LiUnfang,ZhangZhixin,Hanbing【Abstract】PurposeToevaluatetheheartfunctionofpatientssufferedfromHFNEFusingheartfailureechocardiographyindex(HFEI)whichsynthesize
4、sthemultinomialparameterofechocardiography.MaterialsandMethodsTotally60patientswithand60normalcontrolswereinvolvedinthestudy.Allthesubjectsweregradedbyheartfailureechocardiographyindex(HFEI)whichwasputforwardbyourhospitalandthemultinomialparameterofechocardiographywassynt
5、hesized.Atthesametime,thescoresofheartfailureechocardiographyindex(HFEI)werecomparedwiththeoutcomesofcontemporaneousBNPandtheNYHAclass.ResultsThescoresofheartfailureechocardiographyindex(HFEI)indiastolicdysfunctiongroupwerehigherthanthoseincontrolgroup(p<0.01)andincreased
6、withthegrowingoftheNYHAfunctionalclass.ThescoresofpatientsinNYHAclassII，III，IVwas2.11±0.90、3.34±0.97、5.33±1.60respectively.TheresultsanalysedbySpearmanrankcorrelationshowedthatheartfailureechocardiographyindex(HFEI)andNT-BNPhadremarkablecorrelation(r=
7、0.92).ConclusionsHeartfailureechocardiographyindexcanaccuratelyjudgetheclassificationofheartfailureandhasgoodcorrelationwithNT-BNPlevel；itisanidealindicatorsforjudgingtheseverityandprognosisofheartfailure.【Keywords】Heartfailure;Heartfailureechocardiographyindex(HFEI)；NT-B
8、NP隨著對(duì)心力衰竭(HF)深入研究發(fā)現(xiàn)，大量心衰患者早期仍能保持相對(duì)正常的左室射血分?jǐn)?shù)(LVEF),此類心衰稱為左心室射血分?jǐn)?shù)正常的心力衰竭(heartfailurewithnormallef
