男性酒精所致精神障碍患者超声心动图分析

Analysis of echocardiography in the male patients with alcohol-induced mental disorders

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(3)
作者
作者单位

宜昌市精神卫生中心 ;
武汉大学人民医院 ;

摘要
探讨男性酒精所致精神障碍患者超声心动图的变化及临床意义。方法 应用MINDRAY M7型彩色多普勒超声心动图诊断仪,分别测定44例男性酒精所致精神障碍患者(研究组)及42例健康体检者(对照组)的心脏形态及心功能指标,并观察心肌及瓣膜活动。结果 研究组的LVDd、EDV和ESV均显著高于对照组(P<0.05),E/A比值、CO、EF均显著低于对照组(P<0.05),心尖部圆钝、左室壁增厚、主动脉瓣反流、主动脉瓣增厚/钙化、二尖瓣增厚/钙化病例数较对照组显著增多(P<0.05)。结论 酒精所致精神障碍患者存在心脏收缩及舒张功能降低、左心室扩大及心脏瓣膜增厚等心肌损害,需密切进行超声心动图监测。
Abstract
Objective To investigate changes of echocardiography in the male patients with alcohol-induced mental disorders and their clinical significance. Methods 44 male patients with alcohol-induced mental disorders (the treatment group) and 42 healthy patients (the control group) were diagnosed respectively in terms of cardiac structure and heart function parameters by using Color Doppler Ultrasound Diagnostic System, and myocardial and valve activities were observed. Results The treatment group was significantly higher than the control group in terms of LVDd, EDV and ESV (P<0.05), but significantly lower in terms of E/A ratio, CO, and EF (P<0.05). There were more patients with cardiac disorders, including round apex, thick left ventricular wall, aortic regurgitation, thick/calcific aortic valve and thick/calcific mitral valve, in the treatment group than in the control group (P<0.05). Conclusions Patients with alcohol-induced mental disorders have such cardiac disorders as slow cardiac contraction and relaxation, enlarged left ventricle and thick cardiac valve, thus requiring frequent echocardiography monitoring.
关键词
酒精;精神障碍;超声心动图
KeyWord
Alcohol; Mental disorders; Echocardiography
基金项目
页码 467-469
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林红,阮俊,潘峰,刘忠纯*. 男性酒精所致精神障碍患者超声心动图分析 [J]. 国际精神病学杂志. 2017; 44; (3). 467 - 469.

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