超声心动图联合外周血管超声早期鉴别诊断高血压心脏病的效果OA
Effect of Echocardiography Combined with Peripheral Vascular Ultrasound on Early Differential Diagnosis of Hypertensive Heart Disease
目的 分析超声心动图联合外周血管超声在高血压心脏病中的早期鉴别诊断效果.方法 收集 2022 年 1 月-2024 年 12 月吉安县中医院 60 例疑似高血压心脏病患者的临床资料,所有患者均进行超声心动图、外周血管超声单独及联合检查.比较超声心动图单检与联合外周血管超声对高血压心脏病、左心房增大、左心室肥厚及心脏功能和结构变化的检出率;并以临床医生综合判断结果为诊断金标准,分析超声心动图单检、外周血管超声单检及二者联合诊断的效能差异.结果 60 例疑似高血压心脏病患者中,临床医生综合判断结果确诊 56 例阳性,其中左心房增大 51 例,左心室肥厚 47 例;心律失常 47 例,ST-T改变 41例,主动脉弹性减退 35 例,主动脉扩张 36 例.超声心动图、外周血管超声联合诊断阳性 55 例,单一超声心动图诊断阳性 41 例,单一外周血管超声诊断阳性 43 例.与单一超声心动图检查相比,联合诊断对左心房增大、左心室肥厚、心律失常、ST-T改变、主动脉弹性减退、主动脉扩张的检出率均更高(P＜0.05).且在诊断效能方面,联合检查的准确率、特异性、灵敏度、阳性预测值及阴性预测值均优于单项检查,同时其误诊率与漏诊率均低于单一超声心动图或外周血管超声检查(P＜0.05).结论 对于高血压心脏病的早期鉴别诊断,超声心动图联合外周血管超声具有较高的准确率和临床应用价值,能够为临床病情评估及治疗方案制定提供可靠的影像学依据.
Objective To analyze the effect of echocardiography combined with peripheral vascular ultrasound on early differential diagnosis of hypertensive heart disease.Methods A total of 60 patients with suspected hypertensive heart disease admitted to Ji'an County Hospital of Traditional Chinese Medicine from January 2022 to December 2024 were selected as the research objects.All patients underwent echocardiography,peripheral vascular ultrasound alone and combined examination.The detection rates of hypertensive heart disease,left atrial enlargement,left ventricular hypertrophy and cardiac function and structural changes were compared between single echocardiography and combined peripheral vascular ultrasound.The comprehensive judgment results of clinicians were used as the gold standard for diagnosis,and the differences in the efficacy of single echocardiography,single peripheral vascular ultrasound and combined diagnosis were analyzed.Results Among the 60 patients with suspected hypertensive heart disease,56 cases were diagnosed as positive by clinicians,including 51 cases of left atrial enlargement and 47 cases of left ventricular hypertrophy.There were 47 cases of arrhythmia,41 cases of ST-T change,35 cases of aortic elasticity decrease and 36 cases of aortic dilatation.The combined diagnosis of echocardiography and peripheral vascular ultrasound was positive in 55 cases,single echocardiography was positive in 41 cases,and single peripheral vascular ultrasound was positive in 43 cases.Compared with single echocardiography,the detection rates of left atrial enlargement,left ventricular hypertrophy,arrhythmia,ST-T change,aortic elasticity decrease and aortic dilatation were higher in combined diagnosis(P<0.05).In terms of diagnostic efficacy,the accuracy,specificity,sensitivity,positive predictive value and negative predictive value of combined examination were better than those of single examination,and the misdiagnosis rate and missed diagnosis rate were lower than those of single echocardiography or peripheral vascular ultrasonography(P<0.05).Conclusion For the early differential diagnosis of hypertensive heart disease,echocardiography combined with peripheral vascular ultrasound has high accuracy and clinical application value,which can provide reliable imaging basis for clinical disease assessment and treatment plan formulation.
夏雨
吉安县中医院功能科,江西 吉安 343100
医药卫生
高血压心脏病超声心动图外周血管超声
Hypertensive heart diseaseEchocardiographyPeripheral vascular ultrasound
《医学信息》 2026 (6)
151-155,5
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