多普勒超声心动图在诊断无症状性II-型糖尿病患者左室舒张功能障碍中的意义

被引：3

作者：

范春艳 ^{[1
]}

吴长君 ^{[2
]}

张春梅 ^{[2
]}

机构：

[1] 哈尔滨医科大学附属第四医院超声科

[2] 哈尔滨医科大学附属第一医院超声科

来源：

解剖与临床 | 2008年 / 13卷 / 04期

关键词：

超声心动描记术; II-型糖尿病; 心室功能, 左;

D O I：

暂无

中图分类号：

R587.1 [糖尿病]; R540.45 [];

学科分类号：

摘要：

目的: 探讨应用多普勒超声心动图鉴别基础状态下左室充盈模式正常的无症状性II型糖尿病患者左室舒张功能假性正常化发生率, 以正确评价左室舒张功能障碍发病率。方法: 对63例血糖控制良好的II-型糖尿病患者进行多普勒超声心动图检测, 应用二尖瓣血流充盈模式区分左心室舒张功能状态, 应用Valsalva实验鉴别左室舒张功能假性正常化与左心室正常充盈状态。结果: 左心室充盈状态正常34人(54%)、异常29人(46%), 后者中左心室舒张功能损害18人(29%)、假性正常化11人(17%)。结论: 在血糖控制良好的II-型糖尿病患者中左心室舒张功能障碍也常发生;对于在基础状态下二尖瓣血流充盈模式正常者, Valsalva动作可以鉴别出左室舒张功能假性正常化患者。

引用

页码：268 / 270

页数：3

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