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肺动脉/升主动脉直径比对慢性阻塞性肺疾病患者肺动脉高压的诊断价值 被引量:2

Diagnostic value of diameter ratio of pulmonary artery or ascending aorta in COPD patients with pulmonary hypertension
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摘要 目的探讨分析肺动脉(MAPD)/升主动脉(MAD)直径比对COPD患者肺动脉高压的诊断价值。方法选取60例COPD继发肺动脉高血压患者,设为研究组;再选取60例肺动脉压力正常的COPD患者为对照组,通过对比两组肺动脉与升主动脉直径之比来判断该值对COPD患者肺动脉高压提示作用。结果研究组MAPD与MAD比值明显高于对照组[(1.04±0.01)与(0.83±0.02),t=12.572,P=0.000],并且肺主动脉高压与该比值呈正相关相系数为r=0.743。结论采用MAPD与MAD比值来进行肺主动脉高压的诊断具有比较高的特异性,且对COPD未来加重风险有提示作用,有利于COPD肺动脉高压患者的早发现、早治疗。 Objective To investigate the diagnostic value of diameter ratio of pulmonary artery or ascending aorta in chronic obstructive pulmonary disease (COPD) patients with pulmonary hypertension. Methods 60 COPD patients with secondary pulmonary hypertension were selected as the study group, then 60 cases of normal pulmonary artery pressure COPD patients were selected as the control group. By comparing the pulmonary artery and aorta diame- ter ratio rose of the two groups to judge the value slow lung disease in patients with pulmonary hypertension of the resistive prompt action. Results The MAPD and MAD ratio of the study group was significantly higher than in the control group[ (1.04 ± 0.01 ) vs (0.83 ±0.02), t = 12. 572, P = 0. 0001, and pulmonary artery high pressure ratio was positively correlated with the relative coefficient of r = 0. 743. Conclusion MAD ratio MAPD in the diagnosis of pulmonary artery hypertension have relatively high specificity, and the risk of an exacerbation of COPD future have prompted role in helping COPD patients with pulmonary hypertension of early detection and early treatment.
作者 周炜栋
出处 《中国基层医药》 CAS 2016年第2期241-245,共5页 Chinese Journal of Primary Medicine and Pharmacy
关键词 肺疾病 慢性阻塞性 高血压 肺性 Pulmonary disease,chronic obstructive Hypertension,pulmonary
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