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高原地区正常成人心脏彩超组织多普勒的观察

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目的 分析海拔2 808~5 012 m高原铁路职工左室舒张功能的组织多普勒变化.方法 运用组织多普勒技术(TDI)检测二尖瓣环运动频谱Ea、Aa、Ea/Aa及脉冲多普勒检测二尖瓣峰值流速E、A、E/A.结果 各指标尤其Ea(≤8.5 cm/s)、Aa(≤8 cm/s)、Ea/ Aa(≤1)、E/A(≤1)者检出率除Aa外汉族均高于藏族(均P<0.01),除Aa女性高于男性(P<0.01)外均男性高于女性(P<0.05或P<0.01),并随年龄组、高原暴露年限组的上升而阶梯性显著增高(均P<O.01);民族、性别、年龄、暴露年限、体重与6项指标以及指标自身间的偏相关分析:年龄与Ea、Ea/ Aa中度相关(r>0.3,P<0.01),其他为轻度相关或无相关,性别与Ea、Aa、Ea/Aa均无相关,与E、A弱相关,Ea、Aa、Ea/Aa间的相关系数显著大于E、A、E/A间的相关系数.结论 高原地区心脏彩超无创分析左心舒张功能有较高异常检出率;组织多普勒的指标明显优于脉冲多普勒检测二尖瓣峰值流速.指标且不受前负荷、性别等其他因素影响,最优指标为Ea≤8.5 cm/s及Ea/Aa≤1.
Observation of cardiac tissue by Doppler ultrasonography in healthy adults at high altitude
Objective To analyse the changes of left ventricular diastolic function of railway worker at altitude (2808 - 5012) m plateau by tissue Doppler Imaging(TDI). Methods To detect the mitral annulus motion spectrum Ea, Aa,Ea/Aa by TDI and detect the peak mitral flow velocity by pulse Doppler E, A,E/A. Results Indicators in particular Ea(≤8. 5 cm/s), Aa(≤8 cm/s) ,Ea/Aa(≤l) ,E/A (≤1) detection rates among Aa.Han was higher than Tibetan( P<0. 01) .except for Aa women than men(P<0.01) of males than females(P<0. 05 or P<0. 01),and along with the age group rising ladder,high altitude exposure age group increased significantly (average P<0. 01) Exposure age,ethnicity,gender,age,weight for 6 indicators and indexes its own partial correlation analysis: Age was degree in related winth Ea,Ea/Aa (r>0. 3,P<0. 01),other mildly related or non-related,Gender were not related winth Ea,Aa,Ea/Aa,and weak related winth E,A. The correlation coefficient between Ea, Aa,Ea/Aa significant correlation coefficient was greater than E, A.E/A. Conclusion Cardiac non-invasive analysis of color Doppler ultrasound in plateau area of left ventricular diastolic function has a high detection rate of exceptions; Tissue Doppler index is significantly better than pulse Doppler detection of peak mitral flow velocity. Index does not preload ,gender and other factors,Optimal index for Ea ≤ 8. 5 cm/s and Ea/Aa ≤ 1.

Echocardiography, Doppler, Color

郄红梅、刘永梅、郭晓霞、谈俊丽、张雪峰

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青海省海西州第二人民医院 816000

青海省格尔木市人民医院 816000

超声心动描记术 多普勒 彩色

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(17)
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