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    • RT-3DE评价2型糖尿病患者右心容积功能变化及与血清C肽的相关性

    HUANG Jingyuan,HUANG Zhiliang,CHENG Yun

    Journal of Electrocardiology and Circulation（2022）

    Cited 0|Views0
    Abstract
    目的 运用实时三维超声心动图(RT-3DE)评价2型糖尿病(T2DM)患者右心容积功能变化与血清C肽的相关性.方法 选取树兰(杭州)医院2019年9月至2021年5月收治并确诊的60例T2DM患者为T2DM组,同期健康体检的60名志愿者为对照组.比较两组受试者右心室常规超声心动图参数(包括右心室内径、右心室面积变化率、三尖瓣收缩期平面位移、三尖瓣收缩期运动峰值速度)、RT-3DE参数[包括右心室舒张末期容积(RVEDV)、右心室收缩末期容积(RVESV)、右心室射血分数(RVEF)],分析T2DM患者右心室RT-3DE参数与血清C肽水平的相关性.结果 T2DM组与对照组上述右心室常规超声心动图参数比较,差异均无统计学意义(均P>0.05).T2DM组患者RVEDV、RVESV均明显高于对照组,RVEF明显低于对照组,差异均有统计学意义(均P<0.05).T2DM患者RVEF与空腹及餐后2 h血清C肽水平均呈正相关(r=0.72、0.74,均P<0.05),RVEDV、RVESV与空腹及餐后2 h血清C肽水平均无相关性(均P>0.05).结论 RT-3DE能早期反映T2DM患者右心室功能受损状态,其右心容积功能参数RVEF与血清C肽水平具有一定相关性,可为临床早期干预提供参考.
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