马秀丽,夏稻子,李英梅,刘聪.多普勒组织成像评价糖尿病及糖尿病合并高血压患者左室功能[J].中国医学影像技术,2005,21(12):1912~1914
多普勒组织成像评价糖尿病及糖尿病合并高血压患者左室功能
Doppler tissue imaging in the evaluation of left ventricular function in nomaltensive and hypertensive patients with type 2 diabetes
投稿时间:2005-09-14  修订日期:2005-11-10
DOI:
中文关键词:  糖尿病,2型  高血压  多普勒组织成像  超声心动描记术
英文关键词:Diabetes, type 2  Hypertension  Doppler tissue imaging  Echocardiography
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作者单位E-mail
马秀丽 大连医科大学附属第二医院超声科,辽宁 大连 116027  
夏稻子 大连医科大学附属第二医院超声科,辽宁 大连 116027 dzxia@163.com 
李英梅 大连医科大学附属第二医院超声科,辽宁 大连 116027  
刘聪 大连医科大学附属第二医院超声科,辽宁 大连 116027  
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中文摘要:
      目的 应用多普勒组织成像(DTI)技术评价2型糖尿病患者左室功能;探讨高血压对糖尿病心脏结构和功能的影响。方法 应用超声心动图诊断仪检测糖尿病患者、糖尿病合并高血压患者左心室DTI频谱,测量Sa、Ea、Aa与Ea/Aa,并与30例正常人做对照。结果 两组糖尿病患者Aa与对照组比较有显著性差异,糖尿病合并高血压组与正常血压糖尿病组Sa、Ea比较有显著降低。结论 组织多普勒技术可以早期无创评价糖尿病患者心脏的收缩和舒张功能,高血压加重糖尿病患者心脏结构和功能的损害。
英文摘要:
      Objective To evaluate the left ventricular function in nomaltensive and hypertensive patients with type 2 diabetes by Doppler tissue imaging (DTI) and survey the effectiveness of secondary hypertension on the left ventricular structure and function in patients with type 2 diabetes. Methods Forty five patients with type 2 diabetes and 30 cases of healthy control were divided into three groups: DM, DM+HP and healthy. Echocardiography was used to evaluate the left ventricular structure and functional. Sa, Ea, Aa and Ea/Aawere measured and compared among healthy group, DM and DM+HP groups. Results Aa in group DM and DM+HP were higher than that in healthy group, especially in group DM+HP. Ea in group DM and DM+HP were lower than those in healthy group. Sa in DM+HP was lower than in DM and healthy group. Conclusion DTI can be used to evaluate the left ventricular systolic and diastolic function in patients with type 2 diabetes early and noninvasively. Hypertension aggravates the structure and function of left ventricle in patients with type 2 diabetes.
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