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目的了解急性肺栓塞患者接受心脏以及周围血管彩超方式检查对其预后评估的临床价值。方法纳入本院2014年-2016年期间收治的40例急性肺栓塞患者,将其根据右心功能是否存在障碍分为对照组(无右心功能不全)、观察组(存在右心功能不全),通过对患者临床资料回顾性分析以了解心脏和周围血管彩超检查方式对其预后评估的关系。结果经对比后提示观察组患者出现预后不良情况例数明显高于对照组,统计学软件处理表示组间差异有意义(P<0.05);单因素分析后提示以下因素为引发不良预后情况:肺动脉高压、右室扩大、三尖瓣反流、肺动脉扩张等(P<0.05);对单因素所得因素用Logistic回归性分析,提示以下为独立高危因素:肺动脉高压、右室扩大、肺动脉扩张(P<0.05)。结论用彩超检查模式掌握急性肺栓塞患者心脏还有周围血管情况,掌握是否存在可能诱发不良情况的高危因素,针对性采取处理手段,保障患者健康和顺利康复,值得重视。
Objective To understand the clinical value of cardiac and peripheral vascular color Doppler ultrasonography in evaluating the prognosis of patients with acute pulmonary embolism. Methods Forty patients with acute pulmonary embolism who were admitted to our hospital from 2014 to 2016 were divided into control group (without right ventricular dysfunction) and observation group (with right ventricular dysfunction) according to the presence or absence of right heart function. The clinical data of patients were retrospectively analyzed in order to understand the relationship between cardiac and peripheral vascular color Doppler ultrasound examination of prognosis. The results showed that the number of patients with adverse prognosis in the observation group was significantly higher than that in the control group (P <0.05). The univariate analysis suggested that the following factors were the cause of poor prognosis: pulmonary artery High pressure, right ventricular enlargement, tricuspid regurgitation, pulmonary artery dilation (P <0.05); Logistic regression analysis of the factors resulting in single factor, suggesting the following as independent risk factors: pulmonary hypertension, right ventricular enlargement, pulmonary dilation <0.05). Conclusions The method of color Doppler ultrasound examines the heart and peripheral blood vessels of patients with acute pulmonary embolism. It is worth to pay attention to whether there are risk factors that may induce adverse conditions, and to take targeted treatment to ensure the patient’s health and smooth recovery.