摘要
目的 :探讨慢性肾功能衰竭 (慢性肾衰 )的心脏损害情况。方法 :对 1 2 0例慢性肾功能衰竭患者进行回顾性分析 ,并以同期住院肾功能正常的肾脏病为对照组。结果 :慢性肾衰与对照组比较 ,左心房内径 ( LAD)、左心室舒张末期内径 ( LVEDD)增大 ( P<0 .0 1 ) ,室间隔厚度 ( IVS)、左室后壁厚度 ( LVPW)增加 ( P<0 .0 1 ) ,左室舒张末期容量 ( EDV)及收缩末期容量 ( ESV)增加 ( P<0 .0 1 ) ,射血分数 ( EF)降低 ( P<0 .0 5 )。 41 .6%有左室壁运动降低 ,1 9.1 %有心包积液 ,31 .5 %出现心力衰竭。肾功能损害程度、高血压及贫血与心脏损害有密切关系。结论 :慢性肾衰存在不同程度的心脏损害 ,特别是心脏结构和功能异常 ,在尚未进入终末期肾衰前即已发生 ,心脏超声检查是发现心脏结构和功能损害及心包积液的敏感方法 。
Objective: To study the heart damage condition following chronic renal failure(CRF).Methods:Comparing to the cases with normal renal function, analysis on 120 cases of CRF. Results: Comparing to those in control group, the levels of LAD, LVEDD, LVS, LVPW and ESV in CRF group were higher(P<0.01), while the level of EF was lower(p<0.05). There were 41.6% lower activity in LV, 19.1% liquid around heart membrane and 31.5% occurred heart function failure. There were closely connected among chronic renal failure damage, high blood pressure, deficiency blood and heart damage. Conclusion:There are different levels of heart damage in case of CRF. Especially, there are some abnormal structure and function of heart before last period of CRF. Checking with heart B-us is a sensitive way to find heart structure and function damage, which should be normally used in checking CRF.
出处
《浙江中西医结合杂志》
2004年第7期400-402,共3页
Zhejiang Journal of Integrated Traditional Chinese and Western Medicine
基金
镇江市市级临床重点专科专项经费资助 ( NO.2 3 8)
