心脏彩色多普勒超声联合心电图对高血压性心脏病的诊断效果

Diagnostic Effect of Cardiac Color Doppler Ultrasound Combined with electrocardiogram on Hypertensive Heart Disease

目的:探究心脏彩色多普勒超声联合心电图对高血压性心脏病的诊断效果。方法:选取常熟市第二人民医院2019年7月至2021年5月期间收治的60例高血压性心脏病患者,所有患者均采用心电图、心脏彩色多普勒超声检查,比较单一心电图检查(单一组)和心电图联合心脏彩色多普勒超声检查(联合组)的诊断效果。结果:联合组患者的阳性诊断率为100%(60/60),与单一组的95%(57/60)比较,差异无统计学意义(P>0.05)。联合组患者的左室增大、左室肥厚、主动脉扩张、主动脉弹性减退检出率均高于单一组,差异具有统计学意义(P<0.05)。两组患者的心律失常、ST-T改变检出率比较,差异无统计学意义(P>0.05)。结论:心电图应用在高血压性心脏病的诊断中效果明显,且与心脏彩色多普勒超声联合检查可提升诊断效果及检出率。

Objective To explore the effect of cardiac color Doppler ultrasound combined with electrocardiogram(ECG)on the diagnosis and detection rate of hypertensive heart disease,so as to provide theoretical reference for clinic.Methods 60 patients with hypertensive heart disease treated in Changshu Second People's Hospital from July 2019 to June 2021 were selected.All patients were examined by ECG and cardiac color Doppler ultrasound.The diagnostic effects of ECG alone(separate group)and ECG combined with cardiac color Doppler ultrasound(combined group)were compared.Results The positive diagnostic rate of the combined group was 100%(60/60),and there was no significant difference compared with 95%(57/60)in the control group(P>0.05);The detection rates of left ventricular enlargement,left ventricular hypertrophy,aortic dilatation and aortic hypoelasticity in the combined group were significantly higher than those in the control group(P<0.05).There was no significant difference in the detection rates of arrhythmia and ST-T changes between the two groups(P>0.05).Conclusion ECG is effective in the diagnosis of hypertensive heart disease.If it can be combined with cardiac color Doppler ultrasound,the diagnostic effect and detection rate can be improved.