老年慢性阻塞性肺疾病患者右心室功能的超声评价 : = Echocardiographic evaluation of right ventricular function in aged patients with chronic obstructive pulmonary disease
目的:探讨超声心动图对老年慢性阻塞性肺疾病(COPD)患者右室功能早期变化的评价。方法:选择45例稳定期轻中度COPD老年患者为COPD组,45例健康志愿者为健康对照组。测量比较两组二维超声以及多普勒超声指标,并进行相关性分析。结果:与健康对照组比较,COPD组右室横径[RVTD,(28.03±2.83)mm比(37.55±5.44)mm]、右室游离壁厚度[RVWT,(4.79±0.44)mm比(5.04±0.66)mm]、右室心肌做功指数[RVMPI,(0.38±0.06)比(0.54±0.12)]、三尖瓣返流压力阶差[TRPG,(9.50±1.93)比(36.87±6.27)]、三尖瓣舒张期E峰与组织多普勒三尖瓣环舒张期e′比值[E/e′,(4.24±0.72)比(6.48±1.51)]均显著升高,右室面积变化率[FAC,(53.35±5.41)%比(40.21±7.24)%]、三尖瓣环收缩期位移[TAPSE,(20.78±2.64)比(14.15±2.44)]、三尖瓣舒张期血流E峰与A峰比值[E/A,(1.17±0.19)比(0.73±0.14)]、组织多普勒三尖瓣环收缩期峰值速度[DTIs′,(13.71±1.25)比(12.92±1.70)]均显著降低,P<0.05或<0.01。Pearson相关分析显示,TRPG与RVTD、RVMPI和RVWT呈显著正相关(r=0.440～0.830,P均<0.01),与FAC、TAPSE、DTIs′呈显著负相关(r=-0.615～-0.561,P均=0.001)。结论:RVTD、FAC、TAPSE、三尖瓣E/A、E/e′、RVMPI、TRPG等可用于评估右室功能早期变化。.
Objective: To explore evaluation of echocardiography(ECG) for early change of right ventricular function in aged patients with chronic obstructive pulmonary disease(COPD). Methods: A total of 45 aged patients with mild-moderate stable COPD were selected as COPD group, and another 45 healthy volunteers were regarded as healthy control group. Two-dimensional ultrasound and Doppler ultrasound indexes were measured and compared between two groups, and their correlation were analyzed. Results: Compared with healthy control group, there were significant rise in right ventricular transverse diameter [RVTD,(28.03±2.83)mm vs.(37.55±5.44)mm], right ventricular wall thickness [RVWT,(4.79±0.44)mm vs.(5.04±0.66)mm], right ventricular myocardial performance index [RVMPI,(0.38±0.06) vs.(0.54±0.12)],tricuspid regurgitation pressure gradient [TRPG,(9.50±1.93) vs.(36.87±6.27)],tricuspid diastolic peak E/tissue Doppler tricuspid annular diastolic e′ [E/e′,(4.24±0.72) vs.(6.48±1.51)] and significant reductions in right ventricular fraction area change [FAC,(53.35±5.41)% vs.(40.21±7.24)%], tricuspid annular plane systolic excursion [TAPSE,(20.78±2.64) vs.(14.15±2.44)], tricuspid early/late diastolic peak flow velocity [E/A,(1.17±0.19) vs.(0.73±0.14)], and tissue Doppler tricuspid annular systolic peak velocity [DTIs′,(13.71±1.25) vs.(12.92±1.70)] in COPD group, P<0.05 or <0.01. Pearson correlation analysis indicated that TRPG was significant positively correlated with RVTD, RVMPI and RVWT(r=0.440～0.830, P<0.01 all), and significant inversely correlated with FAC, TAPSE and DTIs'(r=-0.615～-0.561, P=0.001 all). Conclusion: RVTD, FAC, TAPSE, tricuspid E/A, E/e', RVMPI and TRPG etc. can be used to assess early change of right ventricular function..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019-12-31 2019 |
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| Erschienen: |
2019-12-31 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2019 |
|---|---|
| Enthalten in: |
Xin xie guan kang fu yi xue za zhi - (2019), 06 vom: 31. Dez., Seite 780-783 Original Letters: Enthalten in 心血管康复医学杂志 (DE-600)2994562-8 (DE-600)2994562-8 福建省福州市 |
| Reihe: |
China Academic Journals (CAJ), E, 医药卫生科技 = Medicine & Public Health |
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| Sprache: |
Chinesisch |
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| Weiterer Titel: |
Echocardiographic evaluation of right ventricular function in aged patients with chronic obstructive pulmonary disease |
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| Beteiligte Personen: |
陈佳 [VerfasserIn] |
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| Links: |
oversea.cnki.net [lizenzpflichtig] |
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| Anmerkungen: |
Author info:CHEN Jia;WU Xin;SU Long-ping;GAO Shu-qing;Department of Ultrasound Geriatric Hospi-tal of Fujian Province |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
CAJ647256746 |
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| 245 | 1 | 0 | |a 老年慢性阻塞性肺疾病患者右心室功能的超声评价 |b = Echocardiographic evaluation of right ventricular function in aged patients with chronic obstructive pulmonary disease |
| 246 | 3 | 1 | |a Echocardiographic evaluation of right ventricular function in aged patients with chronic obstructive pulmonary disease |
| 264 | 1 | |c 2019-12-31 | |
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| 500 | |a Author info:CHEN Jia;WU Xin;SU Long-ping;GAO Shu-qing;Department of Ultrasound Geriatric Hospi-tal of Fujian Province | ||
| 520 | |a 目的:探讨超声心动图对老年慢性阻塞性肺疾病(COPD)患者右室功能早期变化的评价。方法:选择45例稳定期轻中度COPD老年患者为COPD组,45例健康志愿者为健康对照组。测量比较两组二维超声以及多普勒超声指标,并进行相关性分析。结果:与健康对照组比较,COPD组右室横径[RVTD,(28.03±2.83)mm比(37.55±5.44)mm]、右室游离壁厚度[RVWT,(4.79±0.44)mm比(5.04±0.66)mm]、右室心肌做功指数[RVMPI,(0.38±0.06)比(0.54±0.12)]、三尖瓣返流压力阶差[TRPG,(9.50±1.93)比(36.87±6.27)]、三尖瓣舒张期E峰与组织多普勒三尖瓣环舒张期e′比值[E/e′,(4.24±0.72)比(6.48±1.51)]均显著升高,右室面积变化率[FAC,(53.35±5.41)%比(40.21±7.24)%]、三尖瓣环收缩期位移[TAPSE,(20.78±2.64)比(14.15±2.44)]、三尖瓣舒张期血流E峰与A峰比值[E/A,(1.17±0.19)比(0.73±0.14)]、组织多普勒三尖瓣环收缩期峰值速度[DTIs′,(13.71±1.25)比(12.92±1.70)]均显著降低,P<0.05或<0.01。Pearson相关分析显示,TRPG与RVTD、RVMPI和RVWT呈显著正相关(r=0.440～0.830,P均<0.01),与FAC、TAPSE、DTIs′呈显著负相关(r=-0.615～-0.561,P均=0.001)。结论:RVTD、FAC、TAPSE、三尖瓣E/A、E/e′、RVMPI、TRPG等可用于评估右室功能早期变化。 | ||
| 520 | |a Objective: To explore evaluation of echocardiography(ECG) for early change of right ventricular function in aged patients with chronic obstructive pulmonary disease(COPD). Methods: A total of 45 aged patients with mild-moderate stable COPD were selected as COPD group, and another 45 healthy volunteers were regarded as healthy control group. Two-dimensional ultrasound and Doppler ultrasound indexes were measured and compared between two groups, and their correlation were analyzed. Results: Compared with healthy control group, there were significant rise in right ventricular transverse diameter [RVTD,(28.03±2.83)mm vs.(37.55±5.44)mm], right ventricular wall thickness [RVWT,(4.79±0.44)mm vs.(5.04±0.66)mm], right ventricular myocardial performance index [RVMPI,(0.38±0.06) vs.(0.54±0.12)],tricuspid regurgitation pressure gradient [TRPG,(9.50±1.93) vs.(36.87±6.27)],tricuspid diastolic peak E/tissue Doppler tricuspid annular diastolic e′ [E/e′,(4.24±0.72) vs.(6.48±1.51)] and significant reductions in right ventricular fraction area change [FAC,(53.35±5.41)% vs.(40.21±7.24)%], tricuspid annular plane systolic excursion [TAPSE,(20.78±2.64) vs.(14.15±2.44)], tricuspid early/late diastolic peak flow velocity [E/A,(1.17±0.19) vs.(0.73±0.14)], and tissue Doppler tricuspid annular systolic peak velocity [DTIs′,(13.71±1.25) vs.(12.92±1.70)] in COPD group, P<0.05 or <0.01. Pearson correlation analysis indicated that TRPG was significant positively correlated with RVTD, RVMPI and RVWT(r=0.440～0.830, P<0.01 all), and significant inversely correlated with FAC, TAPSE and DTIs'(r=-0.615～-0.561, P=0.001 all). Conclusion: RVTD, FAC, TAPSE, tricuspid E/A, E/e', RVMPI and TRPG etc. can be used to assess early change of right ventricular function. | ||
| 610 | 2 | 4 | |a 福建省老年医院超声科 |
| 650 | 4 | |a 心脏、血管（循环系）疾病 | |
| 650 | 4 | |a 内科学 | |
| 650 | 4 | |a 医药、卫生 | |
| 650 | 4 | |a 呼吸系及胸部疾病 | |
| 650 | 4 | |a Clinical Medicine | |
| 650 | 4 | |a Cardiovascular System Disease | |
| 650 | 4 | |a Disease of Respiratory System | |
| 650 | 4 | |a 医药卫生科技 | |
| 650 | 4 | |a Medicine & Public Health | |
| 650 | 4 | |a 超声心动描记术 | |
| 650 | 4 | |a 肺疾病,慢性阻塞性 | |
| 650 | 4 | |a 老年人 | |
| 650 | 4 | |a Echocardiography | |
| 650 | 4 | |a Pulmonary disease,chronic obstructive | |
| 650 | 4 | |a Aged | |
| 700 | 0 | |a 吴欣 |4 oth | |
| 700 | 0 | |a 苏龙萍 |4 oth | |
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