舒张期心力衰竭和收缩期心力衰竭临床对比分析

A clinical comparative analysis of diastolic and systolic heart failure

目的对舒张期心力衰竭和收缩期心力衰竭临床特点进行分析和探讨。方法收集我院2014年1月至2015年1月期间的120例心力衰竭患者,其中舒张期心力衰竭(DHF)患者和收缩期心力衰竭(SHF)患者各60例,然后使用飞利浦7500型超声诊断仪对两组患者进行心电图检查,并对最终的检查结果进行比较和分析。结果舒张期心力衰竭组的心室间隔厚度、左心室后壁厚度、左心房内径以及左心室EF均明显高于收缩期心力衰竭组,但左室舒张末期内径明显低于收缩期心力衰竭组。舒张期心力衰竭组的空腹胰岛素高于收缩期心力衰竭组,舒张期心力衰竭组的肿瘤坏死因子2α和白介素6低于收缩期心力衰竭组两组之间的差异具有统计学意义(P<0.05)。结论舒张期心力衰竭患者比收缩期心力衰竭患者的临床表现更为复杂,病情也相对比较严重,因此在临床中应当加强诊断和治疗,促进患者的早日康复。

Objective To investigate and analyze the clinical features of diastolic and systolic heart failure.Methods A total of 120 patients with heart failure who were treated in our hospital from January 2014 to January 2015 were selected, with 60 patients with diastolic heart failure（DHF） and 60 patients with systolic heart failure（SHF）. Philips7500 Ultrasound was applied to perform electrocardiographic examination for all patients, and the final results were compared and analyzed. Results Compared with the SHF group, the DHF group had significantly greater interventricular septal thickness and left ventricular posterior wall thickness, a significantly larger left atrial diameter, a significantly higher left ventricular ejection fraction, and a significantly lower left ventricular end-diastolic diameter（all P〈0.05）; the DHF group also had a significantly higher level of fasting insulin and significantly lower levels of tumor necrosis factor 2α and interleukin-6 than the SHF group（all P〈0.05）. Conclusion The patients with DHF have more complicated clinical manifestations and more severe conditions than those with SHF; therefore, diagnosis and treatment for such patients should be strengthened in clinical practice to promote recovery.