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ID:33608564
大小:1.92 MB
页数:40页
时间:2019-02-27
《伴或不伴高血压的osahs患者心脏结构及功能的超声比较研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、山东人学硕士学位毕业论文COMPARISONOFHEARTSTRUCTUREANDFUNCTIONCHANGESBYECHOCARDIOGRAPHYINPATIENTSWlTHOSAHSWITHORWlTHOUTHYPERTENTIONPostgraduate1’utorZhuXimiIlLiYanzhongAbstractobjectives:Toevaluatetheheartstructureandthefunctionchangesinpatients、啊mobstructivesleepapnea-hypopneasyndrome(OSAHS)independen
2、tfromsystemichypertension(HT)andtOdeterminetheassociationbetweenOSAHSseverityandtheheartstructureandthefunctionchanges.Methods:Thestudypopulmionincluded131consecutivesubjects;31ofthesepatientshadOSAHS,38ofthemhadHT,butdidnothaveOSAHS,32patients,whoconstitutedthestudygroup,hadbothdisorders,
3、and30subjectswithoutanyofthesetwodisordersrepresentedthecontrolgroup.Heartstructureandthefunctionwasassessedbyechocardiography:standardtwo—dimensional,M-Mode,andconventionalDoppleraswellastissueDopplerimaging.NoneofthePatientshadaprevioushistoryofcardiacdisease.ThediagnosisofOSAHSWasbasedo
4、nanapnea-hipopneaindexof5orhigherinpolysomnography.Results:1.Cardiacstructure:theinterventricularseptum(IVS),theleftventricleposteriorwalI(LVPW),leftventricularmass(LVM)andleftventricularmassindex(LVMI)were5山东大学硕士学位毕业论文significantlydifferentinthepatientgroups(OSAHS,HT,OSAHS+HT)comparedtoth
5、econtrolgroup妒<0.05).IVS,LvPWandLVMweresignificantdifferentbetweenoneanother.Theleftatriumdiastolicdiameter(LA),therightventriculardiastolicdiameter(RV),thearteriaeaortadiameter(AO),thepulmonaryarterydiameter(PA),LVMlweresignificantlyimpairedintheOSAHS+HTgroupandtheother3groups.theleftvent
6、riculardiastolicdiameter(LV),therightatriumdiastolicdiameter(RA)weresignificantdifferencebetweenHTandOSAHS+HTgroup(P0.05).Leftventricularejectionfraction(LVEF),short
7、eningffaction(FS)weresignificantlydifferentintwoOSAHSgroups(OSAHS+HTandOSAHS)comparedtothecontrolgroupandHTgroup(P<0.05).E/AratioWassignificantlydifferentinOSAHSandHTgroupscomparedtothecontrolgroup.ThereWasnosignificantdifferencebetweenOSAHS+HTgroupandthecontr
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