心脏超声在高血压左心室肥厚伴左心衰竭中的诊断价值
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(安阳地区医院,河南 安阳 455000)

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黄建凯,男,副主任医师,主要研究方向是妇产、心脏、血管超声方面。

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R 541.3;R 445.1

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The Diagnostic Value of Cardiac Ultrasound in Hypertensive Left Ventricular Hypertrophy with Left Heart Failure
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(Anyang District Hospital, Henan Anyang 455000)

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    摘要:

    〔摘 要〕 目的:对心脏超声在高血压左心室肥厚伴左心衰竭中的应用价值进行分析。方法:采集 2017 年 12 月至 2019 年 12 月安阳地区医院收治的高血压左心室肥厚伴左心衰竭患者 48 例(观察组),选取同期正常受检者 48 例(对照组),所 有患者均接受心脏超声检查,比较检查结果的差异。结果:相较于对照组,观察组舒张末期左室后壁厚度(LVPWD)明显 更厚,左房内径(LAD)与左室舒张末期内径(LVEDD)明显更宽,左室射血分数(LVEF)明显更低,A 峰明显更快,E 峰明显更慢,E 峰与 A 峰比率(E/A)明显更低,差异具有统计学意义(P < 0.05)。结论:在高血压左心室肥厚伴左心衰 竭临床诊断中,可通过心脏超声评估心功能,为临床治疗提供指导。

    Abstract:

    〔Abstract〕 Objective To analyze the value of the application of chemiluminescence immunoassay technology in the biochemical immunoassay of patients with thyroid tumors. Methods 106 cases of suspected thyroid tumor patients who were treated in Changsha Traditional Chinese Medicine Hospital from June 2017 to April 2019 were taken as observation objects. The patients were tested by radioimmunoassay technology and chemiluminescence immunoassay technology respectively, The pathological examination results were used as the gold standard. The detection specificity, sensitivity and accuracy of two methods are compared, and the patient's thyroglobulin level is determined. Results Among 106 patients with suspected thyroid tumors, 100 were diagnosed by pathological examination, accounting for 94.34%. The diagnostic accuracy, specificity, and sensitivity of chemiluminescence immunoassay technology were higher than those of radioimmunoassay technology, and the differences were statistically significant. (P < 0.05), the level of thyroglobulin detected by chemiluminescence immunoassay technology was significantly higher than that by radioimmunoassay technology, and the difference was statistically significant (P < 0.05). Conclusion Chemiluminescence immunoassay technology is more accurate in the diagnosis of thyroid tumors, and can provide a more effective reference for clinical and treatment.

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  • 收稿日期:2021-06-28
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  • 在线发布日期: 2021-12-03
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