首页|头低位卧床模拟失重状态下房室平面运动的定量组织速度成像

头低位卧床模拟失重状态下房室平面运动的定量组织速度成像

扫码查看
目的:应用定量组织速度成像(Quantitative tissue velocity imaging,QTVI)分析头低位卧床模拟失重状态下的房室平面运动,评价模拟失重对左心室收缩与舒张功能的影响.方法:健康青年男性志愿者16名,-6°头低位连续卧床模拟失重,分别于卧床前和模拟失重第10日及20日行心脏彩超检查,应用QTVI获取心尖四腔、左室两腔和左室长轴观上房室平面6个位点的运动速度曲线,测量收缩期波(Vs),舒张早期波(Ve)和舒张晚期波(Va)的峰值速度,计算Ve/Va,结果采用统计软件SPSS11.0进行统计学分析.结果:①收缩期运动速度(Vs):模拟失重与卧前比较,无显著性差异.②舒张期早期运动速度(Ve):模拟失重第10日有3个位点较卧前减低;第20日有5个位点较卧前减低,有显著性差异(P<0.05);模拟失重第20日与10日比较,后间隔运动速度减低(P<0.05).③舒张期晚期运动速度(Va):模拟失重第20日,侧位点较卧前减低,有显著性差异(P<0.05).④Ve/Va:模拟失重第20日,前间隔及后间隔位点降低,具有显著性差异(P<0.05).结论:模拟失重主要影响左心室舒张功能,且随模拟失重时间的延长而加重,对左心室收缩功能则无明显影响.
Atrioventricular plane movements under head down tilt position of simulated weightlessness: an analysis by quantitative tissue velocity imaging
AIM: To explore the influence of head down tilt position of simulated weightlessness on the movements of the atrioventricular plane by quantitative tissue velocity imaging (QTVI) and to elucidate the influence of simulated weightlessness on left cardiac function. METHODS: Sixteen healthy male volunteers were involved in this research and weightlessness was simulated by lying in bed with - 6 degree head down tilt position. QTVI was adopted to observe the movements of atrioventricular plane before simulated weightlessness as well as 10 d and 20 d during simulated weightlessness and six sample points of the atrioventricular plane were recorded from apical four-cavity view,apical two-cavity view and left ventricular long-axis view. The indices of QTVI including the peak velocity in systolic phase ( Vs),early diastolic phase (Ve),late diastolic phase (Va) and the ratio of Ve to Va were processed with SPSS 11.0. RESULTS: No significant changes in Vs were observed during simulated weightlessness. Ve decreased in 3 sample points on the 10th day and in 5 sample points on the 20th day during simulated weightlessness ( P <0. 05 ). Ve of the posterior septal point decreased significantly on the 20th day compared with that on the 10th day during simulated weightlessness (P<0. 05). Va decreased significantly in lateral wall's sample point on the 20th day during simulated weightlessness (P < 0.05) and the ratio of Ve to Va of anterior and posterior septal point also decreased significantly on the 20th day during simulated weightlessness ( P < 0. 05 ). CONCLUSIONS: Simulated weightlessness degrades cardiac diastolic function and this effect aggravates with the time prolongation of simulated weightlessness. But,simulated weightlessness has no effect on cardiac systolic function.

atrioventricular planequantitative tissue velocity imagingweightlessness simulationventricular iunctionin,left

何薇薇、王爱红、贾化平、梁会泽、周环宇、邵将、魏相东

展开 >

解放军第306医院特诊科,北京,100101

房室平面 定量组织速度成像 失重模拟 心室功能,左

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(10)
  • 3
  • 5