超声心动图冠状动脉内径Z值定量对川崎病患儿冠状动脉病变评估的临床意义

Clinical Significance of Evaluating Coronary Artery Diameter Z Value by Echocardiography in Coronary Artery Disease in Children with Kawasaki Disease

目的分析在川崎病患儿的冠状动脉病变评估过程中,采用超声心动图冠状动脉内径Z值定量的作用。方法选取我院收治的103例川崎病患儿作为本研究对象,患儿选取时间为2018年5月至2020年3月,计算患者Z值后,根据患儿Z值进行分组,分为巨大冠状动脉瘤组(Z≥10)、大冠状动脉瘤组(5≤Z<10)、小冠状动脉瘤组(2.5<Z<5)与无扩张组(Z<2.5),对比不同Z值患儿的血小板变化情况与急性期与恢复期的冠状动脉内径Z值情况。结果随着患儿冠状动脉Z值的增加,血小板数量也随之增加,组间差异明显(P<0.05),其余生化指标无明显差别(P>0.05),而在患儿的急性期与恢复期中,随着患儿冠状动脉Z值的增加,患儿的冠状动脉内径也在逐渐上升,组间差异明显(P<0.05),而无扩张组在此两个时期内组内内径数值变化基本无差别(P>0.05),但是患儿恢复期Z值明显小于急性期Z值,组间差异明显(P<0.05),其余三组患儿在恢复期Z值与内径数值方面均明显缩小,组间差异明显(P<0.05)。结论通过对于川崎病患儿Z值的观察能够有效地对于患儿的冠状动脉病变情况进行分析,并在患儿的急性发作期与治疗恢复期情况进行合理有效的分析与判断,对于此类疾病患儿的临床诊断与治疗后评估均有重要的意义。

Objective To analyze the quantitative effect of the Z value of coronary artery diameter using echocardiography in the evaluation of coronary artery disease in children with Kawasaki disease.Methods 103 children with Kawasaki disease admitted to our hospital were selected as the subjects of this study.The children were selected from May 2018 to March 2020.After calculating the Z value of the patients,they were grouped according to the Z value of the children and divided into Giant coronary aneurysm group(Z≥10),large coronary aneurysm group(5≤Z<10),small coronary aneurysm group(2.5<Z<5)and non-expansion group(Z<2.5),comparing different Z values The changes of platelets in children and the Z value of coronary artery diameter in the acute phase and recovery phase.Results With the increase of coronary artery Z value in children,the number of platelets also increased,the difference between the groups was significant(P<0.05),the rest of the biochemical indicators were not significantly different(P>0.05),while in the acute phase of the child During the recovery period,with the increase of the coronary Z value of the child,the coronary artery diameter of the child also gradually increased,the difference between the groups was significant(P<0.05),while the inner diameter of the non-expansion group changed during these two periods There is no difference(P>0.05),but the Z value of the recovery period of the children is significantly smaller than the Z value of the acute period,and the difference between the groups is noticeable(P<0.05).The remaining three groups of children have significantly reduced the Z value and the diameter value.The difference between the groups is significant(P<0.05)Conclusion The observation of the Z value of children with Kawasaki disease can effectively analyze the coronary artery disease of the children and carry out the acute attack and treatment recovery period of the children Reasonable and effective analysis,and judgment are of great significance for the clinical diagnosis and post-treatment evaluation of children with such diseases.