首页|心脏超声诊断高血压左室肥厚伴左心衰竭的效果和准确性研究

心脏超声诊断高血压左室肥厚伴左心衰竭的效果和准确性研究

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目的 分析高血压左室肥厚伴左心衰竭使用心脏超声诊断的效果,同时对该诊断方式准确性进行评估。方法 选取2021年1月—2023年6月本院收治的100例高血压左室肥厚伴左心衰竭疑似患者作为研究样本,对其使用心脏超声进行检测,记录检测结果并以临床综合诊断为金标准,将结果与金标准进行对比,核定检测与金标准之间的差异性。观察心脏超声诊断各项指标情况。对患者进行心功能分级,探究不同分级下超声结果。结果 心脏超声诊断下符合率、特异度和灵敏度等均较高,与最终诊断之间趋同性较为突出;阳性人员左室舒张末期内径(LVEDD)、左室收缩末径(LVESD)E波和EA波峰值速度比(E/EA)指标高于阴性人员,其余指标低于阴性人员(P<0。05);不同分级患者心功能各项指标对比差异有统计学意义(P<0。05)。结论 高血压左室肥厚伴左心衰竭患者使用心脏超声检查能有效提升诊断的准确性,对患者各项心功能情况进行有效反映,同时诊断能反映不同分级下患者心功能相关情况,为诊断以及后续治疗提供充分依据。
Effect and Accuracy Study of Cardiac Ultrasound Diagnosis of Hypertensive Left Ventricular Hypertrophy with Left Heart Failure
Objective To analyze the effect of echocardiography in the diagnosis of hypertensive left ventricular hypertrophy with left heart failure,and to evaluate the accuracy of this diagnosis.Methods 100 suspected patients with hypertensive left ventricular hypertrophy and left heart failure admitted to our hospital from January 2021 to June 2023 were selected as research samples,and the results were detected by echocardiography,and the clinical comprehensive diagnosis was taken as the gold standard.The results were compared with the gold standard to verify the difference between the detection and the gold standard.To observe the indexes of cardiac ultrasound diagnosis.To classify patients'cardiac function and explore the ultrasonic results under different grades.Results The coincidence rate,specificity and sensitivity of cardiac ultrasound diagnosis were high,and the convergence with the final diagnosis was prominent.LVEDD,LVESD and E/EA of positive people were higher than those of negative people,and the rest were lower than those of negative people(P<0.05).There were statistically significant differences in various indexes of cardiac function in patients with different grades(P<0.05).Conclusion Echocardiography in hypertensive patients with left ventricular hypertrophy and left heart failure can effectively improve the accuracy of diagnosis,effectively respond to patients'various cardiac functions,and at the same time,diagnosis can reflect patients'cardiac functions in different grades,which provides sufficient basis for diagnosis and follow-up treatment.

Cardiac ultrasoundHypertension with left ventricular hypertrophy and left heart failureDiagnosisAccuracy

黄美园

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广西南宁市马山县人民医院 超声医学科,广西 南宁 530600

心脏超声 高血压左室肥厚伴左心衰竭 诊断 准确性

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(8)
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