三维应变成像评价2型糖尿病合并高血压病的左心室功能被引量：2

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摘要目的利用三维斑点追踪技术研究血糖控制良好的2型糖尿病患者左心室的功能。方法共入选血糖及症状控制良好(空腹血糖控制在7mmol/L以下)的2型糖尿病患者100例,不伴有高血压病组56例;伴有高血压病组44例;无高血压和糖尿病的健康者为对照组50例,性别、年龄与病例组匹配。利用三维斑点追踪技术测量各组左心室心肌的整体纵向应变(GLS)、整体面积应变(GAS)、整体圆周应变(GCS)以及整体径向应变(GRS)。结果与对照组比较:不伴有高血压病组仅GLS、GAS明显减低(P<0.01);伴有高血压病组GLS、GAS、GCS和GRS均明显减低(P<0.01)。与不伴有高血压病组比较:伴有高血压病组GLS、GAS、GCS和GRS均明显减低(P<0.05)。结论在2型糖尿病的亚临床阶段,左心室的功能就已经受到损害,在高血压的共同作用下,左心室功能的损害更加严重,三维应变成像可以准确地测量2型糖尿病亚临床阶段左心室功能的变化。

作者池垚汤波洪晓冬

机构地区浙江省台州市第一人民医院超声科

出处《心脑血管病防治》 2017年第5期401-403,共3页 CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT

关键词三维应变 2型糖尿病高血压左心室功能

分类号 R445.1 [医药卫生—影像医学与核医学] R544.1 [医药卫生—心血管疾病] R587.1 [医药卫生—内分泌]

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