超声心动图检查对应激性心肌病的诊断价值分析

Diagnostic Value of Echocardiography in Stress Cardiomyopathy

目的分析研究应激性心肌病患者的超声心动图检查结果及此方法的诊断价值。方法选择2016年1月-2018年12月郑州市第七人民医院收治的100例应激性心肌病患者为临床研究对象,所有患者均给予超声心动图检查,观察患者的检查结果,并以治疗14d为界设定为急性期与恢复期,观察患者两阶段的超声心动图变化。结果急性期患者舒张期左室内径(61.98±4.53)mm、收缩期左室内径(55.64±4.46)mm、左室血流速度(1.64±0.32)mm/s均高于恢复期[(44.35±4.24)mm、(32.09±4.98)mm、(1.17±0.31)mm/s],差异显著(P<0.05);而急性期患者LVEF(29.91±4.43)%及LVFS(11.24±2.67)%低于恢复期患者[(64.81±5.59)%、(32.64±4.88)%],差异显著(P<0.05)。结论超声心动图对应激性心肌病具有较高的诊断价值,有助于判断患者的病变恢复情况。

Objective To analyze and study the results of echocardiography in patients with stress cardiomyopathy and the diagnostic value of this method. Methods 100 patients with stress cardiomyopathy admitted to Zhengzhou No.7 People's Hospital from January 2016 to December 2018 were selected as clinical research objects. All patients were given echocardiogram examination to observe the examination results of the patients. The boundary of treatment 14 days was set as acute phase and recovery phase, and the changes of echocardiogram in two phases of the patients were observed. Results The diastolic left ventricular diameter (61.98±4.53)mm, systolic left ventricular diameter (55.64±4.46)mm and left ventricular blood flow velocity (1.64±0.32)mm/s/s in acute phase were significantly higher than those in recovery phase [(44.35±4.24) mm,(32.09±4.98)mm,(1.17±0.31)mm/s], with significant difference (P < 0.05). However, LVEF(29.91±4.43)%)% and LVFS(11.24±2.67)%)% in acute stage patients were significantly lower than those in recovery stage patients [(64.81 5.59)%,(32.64 4.88)%](P < 0.05). Conclusion Echocardiography has high diagnostic value for stress cardiomyopathy and is helpful to judge the recovery of the disease.