中国康复理论与实践2023，Vol.29Issue(12)：1429-1438,10.DOI:10.3969/j.issn.1006-9771.2023.12.007
CT肺动脉造影对康复患者急性肺栓塞及右心功能的评价
Application of CT pulmonary angiography in acute pulmonary embolism and right heart function
摘要
Abstract
Objective To explore the application value of CT pulmonary angiography(CTPA)in assessing the severity of acute pul-monary embolism(APE)and right heart function in rehabilitation patients. Methods From January,2013 to January,2020,133 inpatients(94 positive and 39 negative)who underwent CTPA exam-ination in Beijing Bo'ai Hospital were involved.Positive patients were further divided into mild,moderate and se-vere groups based on the pulmonary artery obstruction index(PAOI).The clinical parameters and right heart function indicators were compared.Spearman correlation analysis was used to analyze the correlation between PAOI,and clinical parameters and right heart function indicators,and Logistic regression analysis was used to predict the risk factors of APE. Results There was significant difference in lower extremity venous thrombosis,D-dimer,oxygen partial pressure,PAOI and left process of interventricular septum among four groups(H≥12.350,P<0.01).PAOI was moderately pos-itively correlated with D-dimer(r = 0.443,P<0.001)and left process of interventricular septum(r = 0.520,P<0.001),and was weakly positively correlated with lower extremity venous thrombosis(r = 0.399,P<0.001),left pulmonary artery diameter(r = 0.213,P = 0.014)and inferior vena cava regurgitation(r = 0.229,P = 0.008).Lower extremity venous thrombosis(OR = 7.708,P<0.001)and left process of interventricular septum(OR = 3.641,P = 0.008)were independent risk factors for the onset of APE.The combination of the two indicators was effective for diagnosis of APE,and AUC was 0.795(95%CI 0.715 to 0.874). Conclusion CTPA may be applied to evaluate the severity of APE and right heart function in rehabilitation patients.关键词
CT肺动脉造影/急性肺栓塞/右心功能Key words
CT pulmonary angiography/acute pulmonary embolism/right heart function分类
医药卫生引用本文复制引用
张红霞,陈振波,丛欣莹,张甜,武晔,李清,李雪静,陈奕帆,王秀婷,于卫永..CT肺动脉造影对康复患者急性肺栓塞及右心功能的评价[J].中国康复理论与实践,2023,29(12):1429-1438,10.基金项目
中国康复研究中心科研基金项目(No.2020-Q13) Supported by China Rehabilitation Research Center Fund for Research(No.2020-Q13) （No.2020-Q13）
