彩色多普勒超声心动图对酒精性肝硬化、腹水患者心脏形态及功能的研究

Color Doppler ultrasound Beckoning research on alcoholic cirrhosis of liver ascites patient of cardiac morphology and function diagram

目的研究彩色多普勒超声心动图检测酒精性肝硬化腹水患者心脏形态及功能,探讨心脏功能及形态在酒精性肝硬化腹水中的临床意义。方法确诊酒精性肝硬化患者75例,均为男性,选取门诊体检健康者50例为正常对照组(Ⅰ组)。将酒精性肝硬化患者未合并腹水者45例列为Ⅱ组,合并腹水者30例列为Ⅲ组,所有入选病例及健康体检者均行彩色多普勒超声心动图检查,并记录反映心脏形态[左心室舒张末期内径(LVDd)、左室收缩末期内径(LVDs)、左房前后径(LA)、左室后壁厚度(LVPWD)、室间隔厚度(IVSDd)]及心功能[左室射血分数(LVEF)、左室短轴缩短率(FS)、A峰E峰流速比值(E/A)、晚期A峰速度(A)、舒张早期E峰速度(E)]的参数指标,比较三组的各种参数指标。结果三组的LVDd、LVDs、LA、LVPWD及IVSDd比较,差异有显著性;LVDd和LVDs从Ⅰ组到Ⅲ组逐渐增大,Ⅲ组的LA明显大于Ⅰ组和Ⅱ组,Ⅲ组和Ⅱ组的LVPWD和IVSDd明显大于Ⅰ组。三组的LVEF、FS、E/A、A及E差异有显著性,LVEF、FS、E/A及E从Ⅰ组到Ⅲ组逐渐增大,A从Ⅰ组到Ⅲ组逐渐减小。结论彩色多普勒超声心动图在检测酒精性肝硬化腹水患者的心脏形态及功能上具有重要临床意义,能够准确评判酒精性肝硬化腹水患者的心泵功能,为评价预后提供参考。

Objective To study of color Doppler ultrasound Beckoning map in alcoholic cirrhosis of liver ascites patient of cardiac morphology and function,to explore the clinical significance of cardiac function and morphology in alcoholic cirrhosis ascites. Method In our hospital diagnosed patients with alcoholic cirrhosis in 75 cases,including30 cases with ascites（ group Ⅲ）,45 cases were not accompanied by ascites（ group II）,and 50 healthy subjects were selected as control group（ group Ⅰ）,all patients and healthy subjects were color Doppler ultrasound Heartbeat graph examination,and record reflect left ventricular morphology [heart diastolic diameter（ LVDd）,left ventricular end systolic diameter（ LVDs）,left atrial diameter（ LA）,left ventricular posterior wall thickness（ LVPWD）,interventricular septal thickness（ IVSDd）] and heart function [left ventricular ejection fraction（ LVEF）,left ventricular fractional shortening（ FS）,A peak E peak velocity ratio（ E / A）,late peak A velocity（ A）,early diastolic peak velocity（ EE） parameter index],various parameter indexes of the three groups were compared. Result Compared the heart morphological parameters of three groups： three groups of LVDd,LVDs,LA,LVPWD and IVSDd are significantly different,LVDd and LVDs increased gradually from group to group Ⅲ,group Ⅲ LA was significantly higher than that of group I and group Ⅱ,group Ⅲ and Ⅱ groups LVPWD and IVSDd than in groupⅠ. Compared the heart function parameters of three groups： there were statistically significant differences between the three groups of LVEF,FS,E / A,A and E,LVEF,FS,E / A and E increased gradually from group to group Ⅲ,A from group I to Ⅲ group decreased. Conclusion Color Doppler ultrasound has important clinical significance in Heartbeat diagram of cardiac morphology and function in patients with alcoholic cirrhosis ascites detection,can accurately judge the heart pump function in patients with alcoholic cirrhosis ascites,provides the reference value for the evaluation of prognosis.