Value of echocardiographic evaluation on Kawasaki disease of heart morphology and function / 中国基层医药

ABSTRACT

Objective To study value of the echocardiographic evaluation on Kawasaki disease of heart morphology and function.Methods From January 2014 to January 2017,30 cases of heart failure children with Kawasaki in the People's Hospital of Xinzhou were selected as observation group,at the same time 30 healthy volunteers were selected as control group,and they were all detected with echocardiography.The differences in cardiac ultrasound measurement were observed and compared between the observation group and normal control group,and before and after treatment,the heart ultrasonic measurement differences were compared between the two groups.Results Compared with those of the control group,the LA [(20.3 ± 2.5) mm vs.(13.7 ± 2.8) mm],RV [(13.8 ±2.3) mm vs.(10.5 ± 1.9) mm] and LVDd [(41.9 ± 5.8) mm vs.(27.2 ± 2.6) mm] index of the observation group were significantly increased,LVEF [(45.6 ± 6.4) ％ vs.(70.3 ± 8.4) ％],LVFS [(19.8 ± 2.2) mL vs.(35.9 ±4.1) mL] and E/A [(1.38 ± 0.22) vs.(1.92 ± 0.43)] index of the observation group decreased significantly,the differences were statistically significant (t =9.879,7.365,12.125,12.254,16.567,5.923,all P ＜ 0.05).Compared with those of the control group,the ultrasonic measurement indexes of the observation group were significantly improved,the structure parameters ofLA [(20.3±2.5)mm vs.(16.5±2.2)mm],RV[(13.8±2.3)mm vs.(11.4±1.3)mm] and LVDd[(41.9 ± 5.8)mm vs.(33.7 ± 3.3)mm] decreased obviously,function index of LVEF[(45.6 ± 6.4)％ vs.(59.9 ±7.1)％],LVFS [(19.8±2.2)mL vs.(28.5±3.7)mL] andE/A[(1.38±0.22) vs.(1.73 ±0.31)]of the observation group were significantly increased after treatment,the differences were statistically significant (t =5.125,4.035,10.915,7.828,9.864,4.194,all P ＜ 0.05).Conclusion Echocardiography can objectively evaluate the cardiac morphological indexes and functional indexes of children,which has high value in clinicalapplication.