超声心动图和心电图在高血压性心脏病诊断中的应用对比(1)
[摘要] 目的 探究在诊断高血压性心脏病中超声心电图所具有的应用价值。 方法 随机选取该院在2016年1月—2017年12月期间接受治疗的高血压性心脏病患者86例，分别进行心电图检查和超声波心动图检查，将2种结果分别作为对照组和观察组，从而对比两组患者的诊断效果。 结果 通过超声心动图检查到的左心室肥厚和增大阳性率优于心电图检查(P<0.05)，而心电图检查不出主动脉扩张和主动脉弹性减退；高血压性心脏病的左心房内径以及左心房内径/主动脉内径值均显著高于健康人群(P<0.05)，而射血分数和E/A的值差异无统计学意义(P>0.05)；通过心电图检查，患者左心房肥厚阳性率为59.30%(51/86)，而超声心动图检查的阳性率为93.02%(80/86)，差异有统计学意义(χ2=15.342，P<0.05)。 结论 利用心电图诊断和超声心动图检查均可以诊断出高血压性心脏病，但超声心动图的诊断阳性结果更高，对于准确了解患者情况具有更积极的意义。
[关键词] 高血压性心脏病；超声心动图；诊断意义
[中图分类号] R541 [文献标识码] A [文章编号] 1674-0742(2018)07(a)-0163-03
Application of Echocardiography and Electrocardiography in the Diagnosis of Hypertensive Heart Disease
LI Zheng-nan
Department of Ultrasound， People's Hospital of Haimen， Haimen， Jiangsu Province， 226100 China
[Abstract] Objective This paper tries to investigate the value of echocardiography in the diagnosis of hypertensive heart disease. Methods 86 patients with hypertensive heart disease treated in the hospital between January 2016 and December 2017 were randome selected for electrocardiography and echocardiography. The two results were used as the control and observation group， respectively. The diagnostic effects of the two groups of patients were compared. Results Left ventricular hypertrophy and enlargement positive rate were better than electrocardiogram examination (P<0.05)， and electrocardiogram did not show aortic dilatation and aortic elasticity loss； left atrial diameter of hypertensive heart disease and left atrial diameter/aortic diameter values were significantly higher than those in healthy people (P<0.05)， but there was no significant difference in ejection fraction and E/A value (P>0.05). The positive rate of left atrial hypertrophy was 59.30%(51/86) in patients with electrocardiogram， while the positive rate of echocardiography examination was 93.02%(80/86)， and the difference was statistically significant (χ2=15.342， P<0.05). Conclusion Hypertensive heart disease can be diagnosed by both electrocardiogram diagnosis and echocardiography， but the diagnostic result of echocardiography is higher， which has more positive significance for accurate understanding of the patient's condition.
[Key words] Hypertensive heart disease； Echocardiography； Diagnostic significance
高血壓性心脏病指的是由于长期高血压的发生[1]，并控制不够及时或者彻底，诱使心脏结构与功能发生改变，临床上表现为左心室肥厚，早期左心室的舒张功能衰退[2]，进而逐渐发生心肌收缩功能衰退，最终发展为心力衰竭，时常会并发心房颤动，冠心病等心脏病。对于高血压性心脏病的诊断，传统的方式是使用心电图进行检测[3]，该法可以在一定程度上显示患者的心电功能，但针对于患者心脏大小，心房心室壁的厚薄程度却难以显示，那么对于高血压性心脏病的准确诊断以及病发倾向带来一定的干扰。近几年来有学者发现超声心动图对于高血压性心脏病的诊断更加确切[4]，应用价值更高。该次研究随机选取该院2016年1月—2017年12月前来进行高血压性心脏病治疗的患者资料86例进行研究，现报道如下。, http://www.100md.com(李正楠)
[关键词] 高血压性心脏病；超声心动图；诊断意义
[中图分类号] R541 [文献标识码] A [文章编号] 1674-0742(2018)07(a)-0163-03
Application of Echocardiography and Electrocardiography in the Diagnosis of Hypertensive Heart Disease
LI Zheng-nan
Department of Ultrasound， People's Hospital of Haimen， Haimen， Jiangsu Province， 226100 China
[Abstract] Objective This paper tries to investigate the value of echocardiography in the diagnosis of hypertensive heart disease. Methods 86 patients with hypertensive heart disease treated in the hospital between January 2016 and December 2017 were randome selected for electrocardiography and echocardiography. The two results were used as the control and observation group， respectively. The diagnostic effects of the two groups of patients were compared. Results Left ventricular hypertrophy and enlargement positive rate were better than electrocardiogram examination (P<0.05)， and electrocardiogram did not show aortic dilatation and aortic elasticity loss； left atrial diameter of hypertensive heart disease and left atrial diameter/aortic diameter values were significantly higher than those in healthy people (P<0.05)， but there was no significant difference in ejection fraction and E/A value (P>0.05). The positive rate of left atrial hypertrophy was 59.30%(51/86) in patients with electrocardiogram， while the positive rate of echocardiography examination was 93.02%(80/86)， and the difference was statistically significant (χ2=15.342， P<0.05). Conclusion Hypertensive heart disease can be diagnosed by both electrocardiogram diagnosis and echocardiography， but the diagnostic result of echocardiography is higher， which has more positive significance for accurate understanding of the patient's condition.
[Key words] Hypertensive heart disease； Echocardiography； Diagnostic significance
高血壓性心脏病指的是由于长期高血压的发生[1]，并控制不够及时或者彻底，诱使心脏结构与功能发生改变，临床上表现为左心室肥厚，早期左心室的舒张功能衰退[2]，进而逐渐发生心肌收缩功能衰退，最终发展为心力衰竭，时常会并发心房颤动，冠心病等心脏病。对于高血压性心脏病的诊断，传统的方式是使用心电图进行检测[3]，该法可以在一定程度上显示患者的心电功能，但针对于患者心脏大小，心房心室壁的厚薄程度却难以显示，那么对于高血压性心脏病的准确诊断以及病发倾向带来一定的干扰。近几年来有学者发现超声心动图对于高血压性心脏病的诊断更加确切[4]，应用价值更高。该次研究随机选取该院2016年1月—2017年12月前来进行高血压性心脏病治疗的患者资料86例进行研究，现报道如下。, http://www.100md.com(李正楠)