动态监测维持性血液透析患者超声心动图的意义

The clinical significance of ultrasound cardiogram tests in uremia patients with hemodialysis

目的:观察尿毒症血液透析患者超声心动图(UCG)的动态变化,并探讨相关危险因素。方法:采用UCG对85例尿毒症患者左房内径(LAD),左室内径(LVD),室间隔厚度(IVST),左室后壁厚度(IVPWT),E/A值进行动态监测,并探讨UCG多次异常与透析间期体重增加过多、高血压、营养不良、透析不充分等因素的相关关系。结果:尿毒症患者UCG多次异常与透析间期体重增加过多、高血压、营养不良、透析不充分等密切相关。结论:尿毒症患者存在UCG的异常,动态监测UCG对指导尿毒症血液透析患者的治疗有一定的价值。

Objective： To investigate the clinical significance of ultrasound cardiogram （UCG）tests in uremia patients and analyze its risk factors. Methods： Left atrium diameter（LAD）,left ventricular diameter（LVD）, interventricular septum thickness（IVST）,left ventricular posterior wall thickness（IVPWT）and E/A of 85 uremia patients were measured by UCG, and to analysis the correlated to clinical features, such as body weight,blood pressure,levels of albumin. Results： The LAD,LVD,IVST, IVPWT of uremia patients were significantly higher than that of normal controls,and the E/A was significantly lower than that of normal controls （P〈0.05）; The frequent abnormal of UCG were correlated to body weight,hypertension,malnutrition and dialysis inadequacy. Conclusions： The uremia patients have abnormal change of ultrasound cardiogram; the follow up ultrasound cardiogram can be used to assess and manage the uremia patients with hemodialysis.