基础医学与临床 ›› 2014, Vol. 34 ›› Issue (3): 355-359.

• 研究论文 • 上一篇    下一篇

超声斑点追踪成像评价不同构型高血压患者左室心肌应变

陈青1,刘怀荣2,安雅萍2,贾武梅2,崔健均3,姚成立4   

  1. 1. 宁夏医科大学
    2. 宁夏医科大学 第二附属医院
    3. 宁夏医科大学 临床学院
    4. 银川市卫生局
  • 收稿日期:2013-09-03 修回日期:2013-10-30 出版日期:2014-03-05 发布日期:2014-02-27
  • 通讯作者: 陈青 E-mail:zcross-090@163.com
  • 基金资助:
    宁夏自然基金支持项目;宁夏回族自治区卫生厅重点科研计划课题;银川市科技攻关支撑项目

Left ventricular myocardial strain in hypertensive patient with different geometric patterns using speckle tracking imaging

  • Received:2013-09-03 Revised:2013-10-30 Online:2014-03-05 Published:2014-02-27

摘要: 目的 采用二维超声斑点追踪成像STI)技术探讨原发性高血压患者左心室心肌纵向、径向、周向应变特点,评价不同构型的原发性高血压患者左室收缩功能。方法 原发性高血压患者63例,根据心肌质量指数(LVMI)将其分为非左室肥厚组33例(A组)与左室肥厚组30例(B组),选取健康者49例(对照组),获取左室长轴及短轴各切面的收缩期纵向、径向、圆周峰值应变。 结果 B组各心肌节段及整体纵向收缩期峰值应变(LS)均显著低于正常组及A组,(P<0.01);左心室短轴切面A组3个短轴水平径向收缩峰值应变(RS)高于正常组(P<0.01);B组3个短轴水平RS明显低于正常组及A组(P<0.01);B组圆周收缩峰值应变(CS)均明显低于正常组及A组(P<0.05)。结论 STI能准确评价高血压患者左心室心肌整体及局部功能的异常,对高血压患者早期左心室收缩功能异常诊断有着重要的临床意义。

关键词: 斑点追踪成像, 高血压, 应变, 心肌收缩功能,

Abstract: Objective To assess left ventricular systolic function with the peak systolic strain of longitudinal、radial and circumferential in patients with essential hypertension by using speckle tracking imaging . Methods 63 cases of patients with essential hypertension(EH) were enrolled, who were classified into the left ventricular hypertrophy group (n=33) and the non left ventricular hypertrophy group (n=30), according to the left ventricle mass index (LVMI). The peak systolic longitudinal strain (LS)、the peak systolic radial strain(RS) and circumferential strain (CS) were measurened in left ventricular long-axis and short-axis views by STI software. Results the peak systolis longitudinal strain of segments and global of left ventricular of group B decreased compared with the control group and group A(P<0.01); the peak systolic radial strain of three segments of hytension group A increased significantly composed with control group(P<0.01), but RS of group B slightly decreased compared with the control group and group A (P<0.01); the peak systolic circumferential strain of three segments of group B were slight lower than the control group and group A( P<0.05); Conclusion Speckle tracking imaging can assess left ventricular systolic function in gloal or local regiong of essential hypertention with different model, which were regard as a new method to evaluate early the left ventricular systolic function with essential hypertention.

Key words: Speckle tracking imaging, Hypertension, Strain, Ventricular systolic function, Left