高血压左心室肥厚伴左心衰竭的心脏彩超特点分析

目的分析高血压左心室肥厚伴有左心衰竭患者的心脏彩超特点。方法将本院2009年4月～2013年4月接诊的40例高血压左心室肥厚伴有左心衰竭患者作为研究对象，定为研究组，将同期来本院行健康体检的正常者38例作为对照组．两组皆采用彩超进行检查分析，对比分析两组人员的心脏彩超特点，包括左心室舒张末期内径、左心室收缩末期内径、左心室射血分数、左房室瓣早期血流频谱E峰值及E／A比值等。结果研究组的左心室舒张末期内径、左心室收缩末期内径、左心室射血分数、左房室瓣早期血流频谱E峰值及E／A比值与对照组比较，差异有统计学意义（P〈0．05）。结论对高血压左心室肥厚伴有左心衰竭患者，采用心脏彩超进行诊断，可以根据心脏彩超特点判断病情的严重程度，有较高的临床应用价值，值得临床借鉴。

Characteristics of ultrasonic cardiogram on left ventricular hypertrophy due to hypertension with left heart failure

Objective To analyze the characteristics of ultrasonic cardiogram （UCG） on patients with left ventricular hy- pertrophy （LVH） caused by hypertension accompanying with left heart failure （LHF）.Methods 40 cases of patients with LVH due to hypertension and LHF in our hospital from April 2009 to April 2013 were selected and categorized as re- search group.38 healthy people for physical examinations were classified into control group in the same period.By ultra- sound examination,the characteristics of UCG in both groups including left ventricular end diastolic dimension （LYEDD）,left ventricular end systolic dimension （LVESD）,left ventricular ejection fraction （LYEF）,early left atrioventric- ular flow E,and ratio of E and A was comparatively analyzed.Results The index like LVEDD,LVESD,LVEF,early left a- trioventricular flow E,and ratio of E and A,etc.in the research group compared with that in the control group,there was statistical difference （P〈0.05）.Conclusion For patients suffering from LVH caused by hypertension accompanying with LHF,the diagnosis of UCG which is based on its characteristics to determine the severity of diseases plays an important clinical application value.It provides a good reference for physicians tackling this kind of disease.