我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

房间隔缺损患者手术前后Tei指数与右心功能相关

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2010年第1期
页码:
96-98
栏目:
临床研究
出版日期:
2010-01-04

文章信息/Info

Title:
Relationship between Tei index and right ventricular function in patients with atrial septal defect pre- and postoperatively
作者:
张建鑫1; 张平洋1; 徐明2; 周陵3; 吴成权1
南京医科大学附属南京第一医院，南京市心血管病研究所： 1.心血管超声科，2.心胸外科，3.心血管内科，江苏 南京 210006
Author(s):
ZHANG Jian-xin1;  ZHANG Ping-yang1;  XU Ming2;  ZHOU Ling3;  WU Cheng-quan1
1.Department of Cardiovascular Ultrasound, 2.Department of Cardiothoracic Surgery, 3.Department of Cardiovascular Internal Medicine, Nanjing Cardiovascular Disease Institute, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing 210006,
关键词:
Tei指数; 右心室功能; 多普勒超声心动图; 房间隔缺损; 肺动脉高压
Keywords:
Tei index;  right ventricular function;  Doppler echocardiography;  atrial septal defect;  pulmonary hypertension
分类号:
R541.1;R540.45
DOI:
-
文献标识码:
A
摘要:
目的: 探讨应用Tei指数评价房间隔缺损(ASD)患者手术前后右心室功能的变化，评估介入及手术的近期疗效。方法: 应用多普勒超声技术测定47例ASD（其中26例伴肺动脉高压）术前及术后3月的右室横径（RVDd）、右室射血分数(RVEF)、肺动脉收缩压(PASP)及Tei指数，25例健康成人作为对照组。结果: ASD患者的RVDd及右室Tei指数较正常对照组明显增大；肺动脉高压组的RVDd，ASD大小及右室Tei指数较无肺动脉高压组明显增大。经介入或手术治疗后，肺动脉高压阴性组患者右室Tei指数较术前降低，较对照组无统计学意义；肺动脉高压组右室Tei指数较术前降低，但仍较对照组大。结论: ASD患者右心功能有减退，介入及手术治疗对肺动脉高压阴性组患者右心功能改善近期疗效明显；对肺动脉高压组患者右心功能改善近期疗效不显著。
Abstract:
AIM: To explore the application of Tei index in assessing right ventricular function of patients with atrial septal defect (ASD) pre- and postoperatively and to evaluate short-term effects of interventional and surgical treatment. METHODS: Forty seven patients with ASD (26 with pulmonary hypertension) and 25 healthy subjects as controls were examined. Right ventricular diameter (RVDd), right ventricular ejection fraction (RVEF), pulmonary artery systolic pressure (PASP) and Tei index were measured by Doppler echocardiography preoperatively and 3 months postoperatively. RESULTS: In comparison with control subjects, patients with ASD showed significantly higher diameter of the right ventricle and right ventricle Tei index. Compared with ASD patients without pulmonary hypertension, ASD patients with pulmonary hypertension showed significantly higher right ventricular diameter, ASD size and right ventricular Tei index. After intervention or surgical treatment, right ventricular Tei index of ASD patients without pulmonary hypertension was lower than before operation. Compared with those of healthy subjects, no statistical significance was found. After intervention or surgical treatment, right ventricular Tei index of ASD patients with pulmonary hypertension was lower than before operation, although it was still higher than in healthy subjects. CONCLUSION: Right ventricular function of ASD patients decreases. Short-term efficacy assessment shows that intervention or surgery significantly improves right ventricular function of ASD patients without pulmonary hypertension, but not that of ASD patients with pulmonary hypertension.

参考文献/References

［1］ 王慕秋． 儿科学［M］. 第5版. 北京： 北京人民出版社， 2001：294.

［2］丁建东，马根山，杨荣，等． 超声心动图在房间隔缺损封堵术中的应用［J］． 临床荟萃， 2007， 22(13):944-945.

［3］ Kim WH, Otsuji Y, Yuasa T, et al. Evaluation of right ventriculdysfunction in patients with cardiac am yloidosis using Tei index［J］. J Am Soc Echocardiogr, 2004, 17(1):45-49.

［4］ Takeuchi D, Nakanishi T, Tomimatsu H, et al. Evaluation of right ventricular performance long after the atrial switch operation for transposition of the great arteries using the Doppler Tei index［J］. Pediatr Cardiol, 2006, 27(1)：78-83.

［5］ Wu ET, Akagi T, Taniguchi M, et al. Differences in rightand left ventricular remodeling after transcatheter closure ofatrial defect among adults［J］. Catheter Cardiovasc lnterv, 2007, 69(6)：866-871．

［6］ 舒先红． 临床超声心动图新技术［M］． 上海： 复旦大学出版社， 2004：252，241．

［7］ 卢晓芳， 王新房． 超声多普勒Tei指数评价心功能的应用研究［J］. 临床心血管病杂志， 2001， 17(12)：576-578．

［8］ Poulsen SH, Jensen SE, Tei C, et al. Value of the Doppler index of myocardial performance in the early phase of acute myocardial infarction［J］. J Am Soc Echocardiogr, 2000, 13(8)：722-725．

［9］ 石晶，张军，李军，等． 超声心动图评价房间隔缺损封堵术心脏血流动力学及其负荷的变化［J］. 心脏杂志， 2007， 19(5):559-562．

备注/Memo

备注/Memo:
收稿日期：2008-7-11.通讯作者：张平洋，教授，主任医师，博士，主要从事超声心动图的临床及介入研究Email：zhpy28@hotmail.com 作者简介：张建鑫，医师Email：zjx_vaux@sina.com
更新日期/Last Update: 2010-01-05