摘要
目的:研究采用房间隔缺损封堵术治疗房间隔缺损患者对左心室舒张功能的影响。方法:选取南阳市中心医院2021年1月至2022年1月收治的120例房间隔缺损患者作为研究对象,采用随机分组法将患者分为对照组和观察组,各60例。对照组采用外科修补术治疗,观察组采用房间隔缺损封堵术治疗。比较两组患者左心室舒张功能指标[二尖瓣舒张早期血流速度峰值(E值)、二尖瓣舒张晚期血流速度峰值(A值)、左心室舒张末期内径(LVEDD)]及并发症发生情况。结果:术后3个月、6个月,观察组患者E值、LVEDD、E/A高于对照组,A值低于对照组,差异具有统计学意义(P<0.05)。观察组患者并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论:与外科修补术比较,房间隔缺损封堵术应用于房间隔缺损患者的临床治疗中,可以促进其左心室舒张功能状态改善,且可降低相关并发症发生风险。
Objective To explore the effect of Atrial septal defect occlusion on left ventricular diastolic function in patients with atrial septal defect.Methods 120 patients with atrial septal defect admitted to Nanyang Central Hospital from January 2021 to January 2022 were selected as the study subjects.The patients were randomly divided into a control group and an observation group,with 60 cases in each group.The control group was treated with surgical repair,and the observation group was treated with atrial septal defect occlusion.Compare the left ventricular diastolic function indicators[peak early diastolic blood flow velocity(E value),peak late diastolic blood flow velocity(A value),left ventricular end diastolic diameter(LVEDD)]and complications between two groups of patients.Results At 3 and 6 months after surgery,the E value,LVEDD,E/A of the observation group were higher than those of the control group,while the A value was lower than that of the control group,with statistically significant differences(P<0.05).The incidence of complications in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with surgical repair,occlusion of atrial septal defect in the clinical treatment of atrial septal defect patients can improve their left ventricular diastolic function and reduce the risk of related complications.
作者
张伟
张超
吕建
ZHANG Wei;ZHANG Chao;LYU Jian(Nanyang Central Hospital,Henan Nanyang 473000)
出处
《深圳中西医结合杂志》
2023年第12期85-87,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
房间隔缺损
房间隔缺损封堵术
左心室舒张功能
Atrial septal defect
Occlusion of atrial septal defect
Left ventricular diastolic function
