肺心病超声特征与中医证型的相关研究

Study on correlation between ultrasonic characteristics of cor pulmonale and tcm syndrome types

目的:分析研究不同中医证型CCP患者UCG差异及相关性,为临床诊疗提供客观影像学依据。方法:采用回顾性分析方法,选取2019年12月—2021年6月我院临床诊断为CCP的患者120例,将其按中医证型分为4组:SRHPL(34例)、SRDPL(27例)、SWDYD(13例)、SRDLK(46例),分析其UCG参数差异及相关性。结果:SWDYD的RAS、RVD、PAD、PE明显大于其他证型。SRDLK的LVDd、FAC、PARS明显大于其他证型。SRHPL和SRDPL的LVDd小于其他证型。SRDPL的FAC最小。SRHPL的RVAD和PARS最小。SRHPL的LVEF最高,而SWDYD最低。SRHPL和SRDLK的LAD明显小于其他证型,而TAPSV、TAPSE、TRS显著大于其他证型。SRHPL的PASP显著低于其他证型。RAS、RVD、PAD、RVAD与PASP/FAC、TAPSV、TAPS呈正/负相关;PARS、TRS与PASP呈正相关;FAC、TAPSV、TAPSE与TRS/PASP呈正/负相关;TAPSV、TAPSE与LVEF呈正相关;LAD、LVDd与LVEF呈显著负相关。P<0.05。结论:不同中医证型CCP的RAS、RVD、RVAD、PAD、TRS、PARS、PASP、TAPSV、FAC、TAPSE、LAD、LVDd、LVEF、PE等UCG参数差异有统计学意义,且重要参数有相关性,可为CCP临床诊治提供客观影像学依据,具有重要价值。

Objective:To analyze and study the differences and correlation of UCG in patients with different TCM evidence types of CCP,and to provide objective imaging basis for clinical diagnosis and treatment.Methods:Using retrospective analysis,120 patients clinically diagnosed with CCP in our hospital from December 2019 to June 2021 were selected and divided into 4 groups according to their TCM evidence types:SRHPL(34 cases),SRDPL(27 cases),SWDYD(13 cases),and SRDLK(46 cases),and the differences and correlations of their UCG parameters were analyzed.Results:The RAS,RVD,PAD,and PE of SWDYD were significantly greater than those of other evidence types.lVDd,FAC,and PARS of SRDLK were significantly greater than those of other evidence types.LVDd of SRHPL and SRDPL were smaller than those of other evidence types.FAC of SRDPL was the smallest.RVAD and PARS of SRHPL were the smallest.lVEF of SRHPL was the highest and that of SWDYD was the lowest.The LAD of SRHPL and SRDLK was significantly smaller than other evidence types,while TAPSV,TAPSE,and TRS were significantly larger than other evidence types.PASP were positively correlated;FAC,TAPSV,TAPSE were positively/negatively correlated with TRS/PASP;TAPSV,TAPSE were positively correlated with LVEF;LAD,LVDd were significantly negatively correlated with LVEF.P<0.05.Conclusion:Through this study,the RAS,RVD,RVAD,PAD,TRS,PARS,PASP,TAPSE of different TCM evidence types of CCP PARS,PASP,TAPSV,FAC,TAPSE,LAD,LVDd,LVEF,PE and other UCG parameters were statistically significant,and there were correlations between important parameters,which can provide objective imaging basis for the clinical diagnosis and treatment of CCP and have important value.