超声心动图研究糖尿病与冠心病患者左室壁运动异常的相关性

Correlation between Diabetes and Left Ventricular Wall-motion Abnormality in Patients with Coronary Heart Disease Researched by Ultrasonic Cardiogram

目的研究分析糖尿病和冠心病患者接受超声心动图监测的情况,为临床治疗和预防提供参考。方法根据2012年3月—2014年8月该院接收的糖尿病和冠心病患者264例进行探讨,随机分成对照组和研究组,均有138例患者,其中男性76例,女性62例;对照组有126例患者,其中男性68例,女性58例,对比分析两组患者的左室壁运动情况。结果对照组患者的超声结果显示,左室壁心肌回声和节段性运动异常比例要低于研究组,研究组患者的壁室运动比较弱,不协调患者比例高,心动图T波改变明显,患者的冠脉造影比较狭窄,两组结果差异有统计学意义(P<0.05)。结论临床中患者接受超声心动图检查能够对患者的冠心病诊断提供可靠的依据,该种检查方法,不会给患者带来创伤,使用简单,可重复使用,因此患者接受度高,临床中可以推广使用。

Objective To research and analyze the conditions of patients with diabetes and coronary heart disease receiving ultrasonic cardiogram detection and provide reference for the clinical treatment and prevention.Methods 264 cases of patients with diabetes and coronary heart disease admitted to our hospital from March 2012 to August 2014 were randomly divided into two groups with 138 cases in each,including 76 cases of male and 62 cases of female,and 126 cases were in the control group,including 68 cases of male and 58 cases of female,and the left ventricular wall-motion of the two groups was compared and analyzed.Results The ultrasonic result in the control group showed that the ratios of abnormal left ventricular wall myocardial-echo and segmental motion were lower than those in the research group.In the research group,the wall motion is weaker,the ratio of incompatible patients is higher,the change of cardiogram T wave is obvious and the coronary artery angiography is narrower,and there were statistical differences between the two results（P〈0.05）.Conclusion The acceptance of echocardiography by clinical patients can provide reliable basis in diagnosis of coronary heart disease of patients,and this examination method does not bring wound to patients with easy use,and it can be used repeatedly,therefore,the acceptance of patients is high,which can be promoted and used in clinic,