Objective To investigate the effects of color ultrasound on acute exacerbation phase of chronic obstructive pulmonary disease(AECOPD)complicated with pulmonary hypertension(PH)and the influence factors of AECOPD complicated with PH were analyzed.Methods A total of 112 patients with AECOPD diagnosed and treated in Rongxian People′s Hospital of Zigong City,from January 2020 to December 2022 were selected,used the diagnostic criteria of PH as the gold standard,and divided into 29 patients in the PH concurrence group and 83 patients in the PH concurrence group according to whether or not they received cardiac color ultrasound examination.The parameters of right heart examination by cardiac color ultrasound examination in the two groups were compared to analyze the diagnostic value of cardiac color ultrasound examination for PH concurrence.And risk factors for AECOPD with PH.Results Right heart cath ete rization was used as the gold standard,in the examination of heart color ultrasound,26 cases of true positive and 79 cases of true negative PH were complicated with AECOPD.The diagnostic AUC was 0.924,and the sensitivity,specificity and accuracy were 89.66%,95.18%and 93.72%,respectively.The rate of complications in non-urban residents,the rate of≥2 attacks in 1 year,neutrophil/lymphocyte ratio(NLR),N-terminal brain natriuretic peptide precursor(NT-proBNP)and carbohydrate-associated antigen 125(CA125).The right ventricular word index(RIMP)and pulmonary artery systolic blood pressure(PASP)in PH complicated group were significantly higher than those in no PH complicated group(P<0.05)in the complication group were significantly higher than those in non-complicated PH group(P<0.05).By binary Logistic regression analysis,non-urban residents,the number of attacks≥2 times,NT-proBNP,CA125 were the risk factors for AECOPD complicated with PH(P<0.05).Conclusion Cardiac color ultrasound can be used to diagnose AECOPD complicated with PH by RIMP and PASP.Cardiac color ultrasound has high diagnostic value for AECOPD complicated with PH.Non-urban residents,the number of attacks≥2 times,NT-proBNP,CA125 are risk factors for AECOPD concurrent PH,and intervention measures should be given to reduce the occurrence of PH.
Acute exacerbation of COPDPulmonary hypertensionCardiac color ultrasoundDiagnosis
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