摘要
目的 探讨充血性心力衰竭(CHF)、慢性肾衰竭 (CKI)和贫血三者之间的关系。方法 将 74例CKI患者分为心衰组(33例)和非心衰组(41例);按血红蛋白(Hb)水平分为≥90g/L组(21例)和( <90)g/L组(53例 );按内生肌酐清除率 (Ccr)分为 >10ml/min组 ( 15例 )和≤10ml/min组(59例)。检测Hb和红细胞压积(HCT),计算Ccr,测量血压 (BP),心脏彩超探测左心房内径(LAD)、左心室间隔(IVST)、左心室后壁厚度(LVPWT)和射血分数 (EF)。结果 CKI心衰组和非心衰组比较,Hb、HCT、Ccr、LAD、IVST、LVPWT和EF有明显差异 (P<0. 01)。心衰治疗前、后比较,Hb、HCT和BP有明显差异(P<0. 01)。Hb≥90g/L组与Hb<90G/L组比较,Ccr、BP、LAD、IVST、LVPWT和EF有明显差异 (P<0. 01 )。Ccr>10ml/min组与Ccr≤ 10ml/min组比较,Hb、HCT、IVST、LVPWT、LAD、EF和BP有明显差异 (P<0. 01)。结论 CHF、CKI和贫血三者常并存,彼此关联。治疗应三者兼顾,方能取得较好疗效。
Objective To investigate the relationship between congestive heart failure (CHF),chronic kidney insufficiency (CKI) and anemia.Methods 74 patients with CKI were divided into CHF group and non-CHF group.74 patients with CKI were divided into Hb≥90G/L group and Hb<90G/L group.74 patients with CKI were divided into Ccr>10ml/min group and Ccr≤10ml/min group.Hb,HCT,clearance of creatinine (Ccr),BP,LAD,IVST,LVPWT and EF in each case were detected.Results There was difference in Hb,HCT,Ccr,LAD,IVST,LVPWT and EF between CHF group and non-CHF group(P<0.01).There was difference in Hb,HCT and BP between pre-therapy and post-therapy of CHF(P<0.01).There was difference in Ccr,BP,LAD,IVST,LVPWT and EF between Hb≥90G/L group and Hb<90G/L group(P<0.01).There was difference in Hb,HCT,IVST,LVPWT,LAD,EF and BP between Ccr>10ml/min group and Ccr≤10ml/min group(P<0.01).Conclusion Because CHD,CKI and anemia could exist and correlate together,a comprehensive treatment for all of CHD,CKI and anemia led to a better curative effect.A vicious circle appears among.Each one was able to cause or worse the other two.It is important to provide the adequate detection and treatment for CHD,CKI and anemia.
出处
《临床内科杂志》
CAS
2005年第3期186-188,共3页
Journal of Clinical Internal Medicine
关键词
充血性心力衰竭
慢性肾衰竭
贫血
Congestive heart failure
Chronic kidney insufficiency
Anemia
