[1]彭志平 杨华娟 林 云.二维应变率成像在类风湿性关节炎患者左心房功能评价的 效果观察[J].福建医药杂志,2019,41(02):10-12.
 PENG Zhiping,YANG Huajuan,LIN Yun..Evaluation of left atrial function in patients with rheumatoid arthtitis by two-dimensional strain rate imaging[J].FUJIAN MEDICAL JOURNAL,2019,41(02):10-12.
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二维应变率成像在类风湿性关节炎患者左心房功能评价的 效果观察()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期数:
2019年02期
页码:
10-12
栏目:
临床研究
出版日期:
2019-01-30

文章信息/Info

Title:
Evaluation of left atrial function in patients with rheumatoid arthtitis by two- dimensional strain rate imaging
文章编号:
1002-2600(2019)02-0010-03
作者:
彭志平 杨华娟 林 云
厦门大学附属福州第二医院超声科(福州 350007)
Author(s):
PENG ZhipingYANG HuajuanLIN Yun.
Department of Ultrasound,the Affiliated Fuzhou Municipal Second Hospital of Xiamen University,Fuzhou,Fujian 350007,China
关键词:
二维应变率成像技术 类风湿性关节炎 左心房功能
Keywords:
two-dimensional strain rate imaging rheumatoid arthritis left atrial function
分类号:
R445.1; R593.2
文献标志码:
B
摘要:
目的 观察二维应变率成像技术评价类风湿性关节炎患者左心房功能的效果。方法 选取类风湿性关节炎患者30例,对照组30例,分别进行超声心动图检查,二维测量左心房前后径 (LAD)、左心房容积(LAV),左心房容积指数(LAVI),采用二维应变率成像技术测量两组左心房各 壁心肌收缩期SRs峰、舒张早期SRe峰、舒张晚期SRa峰的峰值应变率,计算左心房心肌平均应变 率峰值(mSRs、mSRe、mSRa)。结果 类风湿性关节炎组与对照组比较,两组左心房大小及容积差 异无统计学意义(P>0.05); 与对照组比较,类风湿性关节炎组左心房心肌平均应变 率mSRs、mSRe峰值降低,mSRa峰值增高,两组差异均有统计学意义(P<0.05)。结论 二维应变率成像技术可准确定量评价类风湿性关节炎患者左心房功能的变化,为临床早期发现 类风湿性关节炎患者心功能损害提供诊断依据。
Abstract:
Objective To evaluate the left atrial function in patients with rheumatoid arthritis by two-dimensional strain rate imaging.Methods Thirteen patients with rheumatoid arthritis and thirteen healthy people as control group were examined by echocardiography.The left atrial diameter(LAD), left atrial volume(LAV)and left atrial volume index(LAVI)were measured in two-dimension.The peak strain rate of SRs in systolic, peak strain rate of SRe in early diastolic and peak strain rate of SRa in late diastolic were measured at each wall of left atrial by two-dimensional strain rate imaging,the mean peak strain rate (mSRs,mSRe,mSRa)were calculated by averaging data in all segments.Results There was no statistically significant difference in the size and volume of left atrial between the rheumatoid arthritis group and the control group (P>0.05).Compared with the control group, mSRs and mSRe of rheumatoid arthritis group were lower, mSRa of rheumatoid arthritis group was higher, the differences between the two groups were statistically significant (P<0.05).Conclusion Two-dimensional strain rate imaging can quantitatively evaluate the change of left atrial function in patients with rheumatoid arthritis, and provide diagnostic basis for the early detection of heart function damage in patients with rheumatoid arthritis.

参考文献/References:

[1] 黄宇,尹立雪.类风湿关节炎心脏病变的超声心动图研究进展[J].中华医学超声杂志电子版 ,2014,11(9):698-701.
[2] 李赵欢,罗安果,邓燕,等.斑点追踪成像技术评价类风湿性关节炎患者右室收缩功能[J].临 床超声医学杂志,2017,,19(8):522-525.
[3] 齐亚军,刘健,曹云祥,等.类风湿性关节炎患者心功能的超声心动图研究[J].临床超声医学 杂志,2013,15(12):813-816.
[4] 苏军芳,张军,王银,等.应用应变率成像技术对尿毒症患者左房功能的评价[J].中国超声医 学杂志,2015,31(8):719-721.
[5] 朱梦若,张跃力.应变及应变率成像技术评价左心房功能的研究进展[J].中国医学影像技术 ,2014,30(11):1753-1756.
[6] 张小杉,赵国君,李治安,等.二维斑点追踪技术评价类风湿性关节炎患者心室收缩功能[J]. 中华超声影像学杂志,2016,25(1):19-23.
[7] 牛宁宁,唐缨,赵静雯,等.左心房容积追踪技术对终末期肾病肾移植手术患者左心房功能的 评价价值[J].实用心脑肺血管病杂志,2018,26(1):146-148.

备注/Memo

备注/Memo:
基金项目:福州市卫生计生系统科技计划青年科研项目(2016-S-wq5)
更新日期/Last Update: 2019-01-30