血管回声跟踪技术在酒精性心肌损害患者颈总动脉弹性评价中的应用.pdf

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1、CL}；CAt．ENGINEER~NG血管回声跟踪技术在酒精性心肌损害患者颈总动脉弹性评价中的应用ApplicationofEchoTrackingTechniqueinEvaluatingCarotidArteryElasticityofPatientswithAlcohol-InducedMyocardialDamage文成勇，何如钢。余宏，武c【摘要】目的探讨血管回声跟踪(ET)技术在酒精性心肌损害患者颈总动脉弹性评价中的应用。重庆市开县人民医院a-超声科；h．泌方法选择40例正常对照人群作为A组(对照组)，67

2、例酒精性心肌损害患者根据饮酒量分为3尿外科；o内科，重庆405400组：B组(20例，少量饮酒组)，C组(25例，中等量饮酒组)，D组(22例，大量饮酒组)。比较各组间应用ET技术获得的颈动脉弹性参数包括压力应变弹性系数(Ep)、僵硬度(B)、顺应性(AC)、增大指数(AI)和脉冲波传导速度(PwVp)。结果B、c、D组Ep、p、PWVB值较A组高，AC值较A组低，差异有统计学意义(P<0．05)。随着饮酒量的不断增加，Ep、B、PwvB值增加明显，差异有统计学意义(P<0．05)。AI值各组间差异无统计学意义(P>0

3、．05)。结论ET技术能准确评价酒精性心肌损害患者颈总动脉的弹性变化。一I关键词】血管回声跟踪技术；酒精性心肌损害；颈总动脉弹性Abstract：ObjectiveToexploretheapplicationofechotracking(ET)techniqueinevaluatingthecarotidarteryelasticityofpatientswithalcohO1一逊ducedmyocardialdamage．Methods40normalcontrolmemberswerechosenasgroupA

4、(controlgroup)．Accordingtodrinkingamount，67patientswithalcohol-inducedmyocardialdamageweredividedintogroupBcomposedof20modicum~lrinkpatients，groupCcomposedof25moderate--drinkpatientsandgroupDcomposedof22heaVy_1drinkpatients．Carotidarteryelasticityparametersobtai

5、nedbyETtechniqueincludingEp(pressurestrainelasticmodulus)，p(stifnessparameter)，AC(arterialcompliance)，AI(augmentindex)andPwvp(pulsewaveconductingvelocity)ofdiferentgroupswerecomparativelyanalyzed．ResultsThevaluesofEp，f3，PWVpofgroupB，C，Dweresignificantlyhighertha

6、nthoseofgroupAwhilethevaluesofACofgroupB，C，DweresignificantlylowerthanthoseofgroupAcP0．05)．ConclusionTh

7、echangesofcarotidarteryelasticityWENCheng—yo九g，ofpatientswithalcohol—inducedmyocardialdamageCanbedetectedaccuratelywithETtechnique．HERu-gangb,YUHong=bin~

8、。。Keywords：echotrackingtechnique；alcohol--inducedmyocardialdamage；carotidarteryelasticitya．Dep刚me黼ofUl扛雒sI嘲咄

9、b印ar哑e赶tofUrology；eDtr雠髓10f~ology,[中图分类号]R445．1[文献标志码]BThePeo．sHospitalof~ixianCounty,doi：10．3969~．issn．1674-1633．2014．10．039Chongqing405400,China【文章编号】1674—1633(2014