本文選題：系統(tǒng)性紅斑狼瘡　切入點：超聲心動描記術(shù)　出處：《臨床心血管病雜志》2017年05期

【摘要】：目的:應(yīng)用三維超聲評價系統(tǒng)性紅斑狼瘡(SLE)患者不同程度肺動脈高壓(PAH)時右心房功能的改變。方法:依據(jù)臨床SLE的診斷標準將診斷明確的102例患者分為3組:A組為無PAH(肺動脈收縮壓≤30mmHg,1mmHg=0.133kPa,37例),B組為輕度PAH(30mmHg肺動脈收縮壓50mmHg,34例),C組為中重度PAH(50mmHg≤肺動脈收縮壓,31例)。另篩選出相同條件下30例檢查正常者為對照組。對4組患者行常規(guī)二維及三維超聲心動圖檢查,記錄并分析右心房相關(guān)參數(shù)。結(jié)果:A組指標與對照組相比差異無統(tǒng)計學(xué)意義(P0.05)。B、C組主動排空容積指數(shù)(SVIact)較對照組增高,并且SVI隨著肺動脈收縮壓的增高而呈增高趨勢。B、C組總排空分數(shù)指數(shù)(EFI)及被動排空分數(shù)指數(shù)(EFIpas)均低于對照組,并且隨肺動脈收縮壓的增高呈減低趨勢(均P0.05)。B、C組主動排空分數(shù)指數(shù)(EFIact)高于對照組(均P0.05)。結(jié)論:隨著SLE患者肺動脈壓不同程度的增高,三維超聲可以客觀評價其右心房功能的變化。
[Abstract]:Objective: to evaluate the changes of right atrial function in patients with systemic lupus erythematosus (SLE) with pulmonary hypertension (SLE). Methods: according to the diagnostic criteria of clinical SLE, 102 patients with definite diagnosis were divided into 3 groups: group A. There were 37 patients with mild PAH(30mmHg pulmonary arterial systolic blood pressure (PAH) without PAH (pulmonary artery systolic pressure 鈮，

本文編號：1659069