摘要
目的:通过常规超声心动图检查,了解HIV感染/AIDS患者心脏结构及功能的改变。方法:将笔者所在医院收治的162例HIV感染/AIDS患者分为HIV感染组69例和AIDS组93例,通过二维、M型,彩色血流多普勒技术对其进行常规超声心动图检查。另外选取无HIV感染正常人100例作为对照组,所有病例与对照组比较腔室大小、大动脉内径、室壁厚度、运动幅度、心功能及血流速度的改变。通过统计学处理,分析所有病例与对照组之间的差异,总结HIV感染/AIDS患者心脏结构与功能的改变。结果:与对照组比较,HIV感染组及AIDS组的右房内径均明显增大,室间隔及左室后壁均明显变薄,AIDS组的左室内径明显增大(P<0.05);而AIDS组的左房、左室、右房、右室及右室流出道内径均明显大于HIV感染组,室间隔及左室后壁均明显薄于HIV感染组(P<0.05)。HIV感染组中的主肺动脉和二尖瓣舒张早期流速、AIDS组中二尖瓣舒张早期流速较对照组均明显降低(P<0.05);AIDS组中二尖瓣舒张晚期流速明显高于HIV感染组(P<0.05)。HIV感染组及AIDS组的肺动脉收缩压较对照组均明显增高,其中AIDS组明显高于HIV感染组(P<0.05)。结论:常规超声心动图在HIV感染/AIDS患者心脏并发症的诊疗过程中具有重要临床意义。
Objective：To understand the cardiac structure and function changes of HIV infection/AIDS patients by conventional echocardiographic examination.Method：162 patients with HIV infection/AIDS in our hospital were divided into the HIV infection group for 69 cases and the AIDS group for 93 cases,they were given conventional echocardiographic examination by traditional two-dimensional,M-type and Doppler.100 no HIV infection healthy people were selected as the control group.The changes of chamber room size,artery diameter,wall thickness,movement range,heart function and blood flow velocity in all patients were compared with the control group.The differences between the patients and the control group were analyzed by statistical processing,the cardiac structure and function changes of HIV infection/AIDS patients were summarized.Result：Compared with control group,inner diameter of right atrial of the HIV infection group and AIDS group enlarged,interventricular septum and left ventricular posterior wall became thinner,AIDS group accompanied by increased left ventricular internal diameter（P〈0.05）.While compared the HIV infection group and AIDS group,the left atrium,left ventricle,right atrium,right ventricular diameter in the AIDS group were significantly larger than those in the HIV infection group,the septal and left ventricular posterior wall of the AIDS group became thinner than those of HIV infection group（P〈0.05）.Conventional echocardiographic determination of blood flow and cardiac function：the main pulmonary artery and early diastolic mitral flow velocity in the HIV infection group were significantly lower than those in the control group,the early diastolic mitral flow velocity in the AIDS group were also significantly lower than that in the control group（P〈0.05）.The late systolic mitral flow velocity （Va） in the AIDS group were significantly higher than that in the HIV infection group（P〈0.05）.Pulmonary artery systolic pressure of the HIV infection/AIDS patients were significantly
出处
《中外医学研究》
2014年第32期55-57,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
