超声心动图对老年性高血压心脏病的临床应用价值

The Clinical Value of the Ultrasonic Heartbeat Graph on the Diagnosis of Senile Hypertensive Heart Disease

目的:探讨超声心动图对诊断老年性高血压性心脏病的临床应用价值。材料与方法:选取我院老年病区60～80岁高血压组患者88例,同年龄段非高血压组60例作对照,应用彩色多普勒超声对心脏进行探测,记录心脏的腔室大小、室壁厚度、室壁回声、左右室舒张功能等,检查结果与非高血压组对照分析。结果:老年高血压组与非高血压组比较,心脏室间隔(IVS)、左室后壁(LVPW)明显增厚,左房(LA)增大、主动脉(AO)扩张,E/A明显减低,差异有统计学意义。结论:超声心动图在心电图发现异常之前就能发现左心室肥厚等特征性改变,超声心动图可作为老年高血压性心脏病的常规检查方法,为临床更准确地了解老年高血压患者心脏结构和功能的变化提供了重要的临床应用价值。

Purpose:To study the clinical value of the ultrasonic heartbeat graph on the diagnosis of senile hypertensive heart disease.Materials and Methods:selected 80 patients with.hypertension,aged from 60 to 80 years old from geriatric department in our hospital,with 60 non hypertensive subjects of the same age group as control.Employ the color Doppler ultrasound to detect the heart and record the cardiac chamber size,wall thickness,wall echo,left and right ventricular diastolic function.Compare the results with the control group.Results:Compared with non hypertensive group,the experimental group has significant interventricular septum(IVS) and left ventricular posterior wall thickening(LVPW),left atrial(LA) enlargement,aortic dilatation(AO) and E/A decrease The difference has statistically significance.Conclusion:ultrasound heartbeat graph can find the characteristic changes such as left ventricular hypertrophy before ECG dose.Ultrasound may serve as clinical routine detective method for elderly hypertensive heart disease and provide an important clinical value for a more accurate understanding on cardiac structure and function changes of elderly patients with hypertension.