摘要
目的探讨慢性肾衰竭维持性血液透析(MHD)患者左室功能和颈动脉硬化情况及二者之间的关系。方法对38例MHD患者应用彩色B型超声检测颈动脉内-中膜厚度(IMT)、斑块、室间隔及左室后壁舒张末厚度、左室舒张末内径、射血分数等同时检测肾功、血脂等血清学指标。结果颈动脉斑块组28例,IMT、低密度脂蛋白、C反应蛋白、血磷明显高于无斑块组。室间隔、左室后壁厚度,左室、左房内径明显高于无钙化斑块组,左室射血分数明显低于无钙化斑块组。结论 MHD患者存在较高的颈动脉硬化率,且与左室肥厚关系密切。
Objective To investigate the relationship between impaired left ventric＇ular function and carotid atherosclerosis in different degrees in maintenance hemodialysis （MHD） patients. Methods Thirty-eight MHD patients were enrolled. The carotid arterythe intima-media thickness （IMT）, plaque, and left ventricular posterior wall end-diastolic interventricular septum thickness, left ventricular end-diastolic diameter, ejection fraction were measured by color ultrasound, respectively. And the detection of renal, lipids and other serological were examined. Results The plaque was detected in 28 of the patients. The IMT, low-density lipoprotein, C-reactive protein, ph6sphorus were higher than those in nonplaque group. Interventricular septum thickness, left ventricular posterior wall thickness and left ventricular diameter, left atrial diameter was significantly higher than those in non-calcified plaque group, and left ventricular ejection fraction was significantly lower than non-calcified plaque group. Conclusion MHD patients have a higher rate of carotid atherosclerosis, and it has close relationship with left ventricular hypertrophy.
出处
《哈尔滨医科大学学报》
CAS
北大核心
2010年第4期378-380,共3页
Journal of Harbin Medical University
基金
黑龙江省科技攻关项目资助课题(GB07C32406)
关键词
慢性肾衰竭
血液透析
实时三维超声心动图
颈动脉
左心室
chronic renal failure
hemodialysis
real-time three-dimensional echocardiography
carotid artery
left ventricular
