姚 晴,郝晓一

目的：本研究旨在探讨超声心动图对心房颤动（AF）患者右心功能的评估价值及AF是否影响右心功能变化。方法：选取能接受经胸超声心动图检查的房颤患者和体检健康者，采集并计算各项超声心动图评估参数，应用单因素方差分析进行组间比较，论证房颤是否。结果：房颤组的三尖瓣环平面收缩期位移（TAPSE）、右心室面积变化分数（RVFAC）、右心室整体纵向应变（RVGLS）均小于对照组会影响右心功能。组间比较差异有统计学意义；阵发性房颤组TAPSE、RVFAC、RVGLS均大于持续性房颤组，两组间比较差异没有统计学意义。结论：AF会影响右心功能变化，超声心动图能够准确测量及评估AF患者的右心功能，对患者的临床诊治及预后判断有重要的临床价值。

房颤；右心功能；二维斑点追踪超声心动图；超声心动图

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