超声心动图多参数评分对心力衰竭患者预后的风险评估价值

摘要/Abstract

摘要： 目的探讨与分析超声心动图多参数评分对心力衰竭患者预后的风险评估价值。方法选取2019年2月—2021年5月在西安市阎良区中医医院住院治疗的心力衰竭患者72例作为研究对象,所有患者都给予超声心动图检查,记录患者的超声心动图多参数评分。调查、记录所有患者主要心血管不良事件（Major Adverse Cardiovascular Events,MACE）发生情况并进行相关性分析。结果在72例患者中,随访2年,发生主要心血管不良事件22例（MACE组）,占比30.6%。MACE组患者的心率、性别比、年龄、体重指数、收缩压、舒张压等与非MACE组对比,差异无统计学意义（P>0.05）。MACE组患者的左心房内径、左心室舒张末期内径、Tei指数明显高于非MACE组,差异有统计学意义（P<0.05）;二尖瓣舒张早期血流速度（E）/二尖瓣舒张晚期血流速度（A）值与非MACE组对比,明显降低,差异有统计学意义（P<0.05）。MACE组患者的左室舒张末期容积指数、左室收缩末期容积指数明显高于非MACE组,差异有统计学意义（P<0.05）,两组心尖段射血分数、中间段射血分数、基底段射血分数对比,差异无统计学意义（P>0.05）。在72例患者中,Spearman分析显示心力衰竭患者的左室舒张末期容积指数、左室收缩末期容积指数、左心房内径、左心室舒张末期内径、Tei 指数、E/A值与随访预后主要心血管不良事件的发生存在相关性。结论心力衰竭患者预后主要心血管不良事件的发生率比较高,超声心动图多参数评分对心力衰竭患者预后的风险评估具有很好的价值。

关键词: 心力衰竭, 主要心血管不良事件, 超声心动图, 相关性, 左心室舒张末期内径, Tei指数, 左室舒张末期容积指数

Abstract: Objective To explore and analysis the risk assessment value of multi parameter echocardiography scoring in the prognosis of heart failure patients. Methods 72 cases patients with heart failure who were hospitalized at Yanliang District Hospital of Traditional Chinese Medicine from February 2019 to May 2021 were selected as the research subjects. All patients were subjected to echocardiography examination and their multiparameter echocardiography scores were recorded. The major adverse cardiovascular events (MACE) in all patients were recorded, and correlation analysis was conducted. Results In the 72 patients, there were 22 cases(MACE group) had major cardiovascular adverse events during a 2-year follow-up, accounted for 30.6%. There were no significant differences in heart rate, gender, age, body mass index, systolic and diastolic blood pressure compared between the MACE group and the non MACE group (P>0.05). The left atrial diameter, left ventricular end diastolic diameter, and Tei index of the MACE group were significantly higher than those of the non MACE group (P<0.05), and the E/A value were significantly lower compared to the non MACE group (P<0.05). The left ventricular end diastolic volume index and left ventricular end systolic volume index in the MACE group were significantly higher than those in the non MACE group (P<0.05). There were no significant difference in the apical ejection fraction, middle ejection fraction, and basal ejection fraction between the two groups (P>0.05). In the 72 patients with heart failure, Spearman analysis showed that the incidence of MACE was related with left ventricular end diastolic volume index, left ventricular end systolic volume index, left atrial diameter, left ventricular end diastolic diameter, Tei index, E/A value after follow-up (P<0.05). Conclusion The incidence of MACE in the prognosis of heart failure patients is relatively high, and the multi-parameter score of echocardiography has great value in assessing the risk of prognosis in heart failure patients.

Key words: heart failure, major cardiovascular adverse events, echocardiography, correlation, left ventricular end diastolic diameter, Tei index, left ventricular end-diastolic volume index

中图分类号:

R541.61

李娜. 超声心动图多参数评分对心力衰竭患者预后的风险评估价值[J]. 中华养生保健, 2024, 42(9): 169-173.

LI Na. The Risk Assessment Value of Multi-parameter Echocardiography Score for Prognosis of Heart Failure Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(9): 169-173.

参考文献

[1] 谢春林,丛涛,王珂,等.射血分数保留心力衰竭不同诊断标准价值的比较[J].中国实用内科杂志,2017,37(7):634-637.
[2] 胡美玲,王勇,刘婷,等.经导管主动脉瓣置换术后早期左室舒张末期内径改善对患者预后的影响[J].陆军军医大学学报,2023,45(3):243-250.
[3] 李少杰,梁浩,苏康康,等.缺血性心肌病合并射血分数改善的心力衰竭患者的临床特征及预后研究[J].实用心脑肺血管病杂志,2023,31(3):36-43.
[4] 尹慧娟,李娜,李小娜,等.ST段抬高型心肌梗死患者术后近远期死亡风险因素及与慢性闭塞病变的关系[J].岭南心血管病杂志,2023,29(1):1-5.
[5] 牛毅菲,贺宇,黄琼,等.经皮冠状动脉介入治疗联合经导管主动脉瓣置换术治疗冠心病合并主动脉瓣疾病的临床疗效[J].中国心血管病研究,2023,21(3):263-268.
[6] 李辛一,孟宪晛,冯高科,等.钠-葡萄糖协同转运蛋白2抑制剂对慢性心力衰竭合并肾功能不全患者心功能及肾功能的影响[J].实用心脑肺血管病杂志,2023,31(3):105-109.
[7] 王亚娟,张群英,张强,等.超声压力-应变环对慢性心力衰竭患者右室心肌做功的定量评价[J].武警医学,2023,34(2):123-127.
[8] 齐明,李燕.超声心动图对老年缺血性心力衰竭患者心室重构功能的评价分析[J].贵州医药,2023,47(3):448-449.
[9] 朱凤亚,曹成建,周洁,等.沙库巴曲缬沙坦钠片对射血分数保留的心力衰竭大鼠心肌纤维化的影响[J].中华老年心脑血管病杂志,2023,25(2):183-187.
[10] 杨晓妍,唐玉洁,梁颖,等.血清Syndecan-4、TIMP-1与STEMI患者冠状动脉病变血管支数、超声心动图参数的关系[J].疑难病杂志,2023,22(3):241-246.
[11] 彭可玲,刘永铭,贾晓艳,等.2型糖尿病相关射血分数保留的心力衰竭患者心脏结构功能特点:基于倾向性评分匹配的分析[J].中国医学科学院学报,2023,45(2):264-272.
[12] 王雨晨,叶楠,卞维静,等.不同心力衰竭类型对肾功能不全合并心力衰竭患者肾脏远期预后的影响[J].中华肾脏病杂志,2023,39(1):1-7.
[13] 李亚南,崔存英,刘园园,等.血流向量成像技术在慢性心力衰竭患者左心室能量损耗评估中的应用价值[J].中华实用诊断与治疗杂志,2023,37(1):84-89.
[14] 张丞波,张苏洁,杨月东,等.益气活血方对急性ST段抬高型心肌梗死后心力衰竭患者心肌纤维化的影响[J].南京中医药大学学报,2023,39(2):111-117.
[15] 李静,曲衎衎,宋惠珠,等.沙库巴曲缬沙坦治疗心力衰竭的快速卫生技术评估[J].医药导报,2023,42(5):725-731.
[16] 陈静文,柳浦青.恩格列净对2型糖尿病合并射血分数保留的心力衰竭患者左心室舒张功能的影响[J].江苏医药,2023,49(4):402-404,408.
[17] 武小青,赵帅冲,刘向辉,等.急性肺栓塞患者住院期间临床恶化的超声心动图指标分析[J].中国心血管杂志,2023,28(2):140-144.
[18] 赵楠,薛晖,苏晗,等.胰岛素样生长因子结合蛋白-7在急性心力衰竭所致呼吸困难诊断中的应用[J].中国医科大学学报,2023,52(2):110-114.
[19] 张梅燕,宋清扬,王爽,等.左心房储存阶段纵向应变在老年心力衰竭患者远期不良预后中的预测价值[J].心脑血管病防治,2023,23(1):41-44.
[20] 蔡雨琪,何健,林静茹,等.三维动态心脏模型评估射血分数保留的心力衰竭患者左心房容积和功能的价值[J].中国循环杂志,2023,38(2):176-181.