摘要
目的探讨老年与非老年维持性血液透析(MHD)患者心脏重构的临床特点差异。方法 112例MHD患者分为老年组(40例)和非老年组(72例),行超声心动图检查并收集相关临床指标,比较两组患者心脏结构特点及其与透析龄、血红蛋白(Hb)、血清白蛋白(ALB)、血清胆固醇(Tch)、甘油三酯(TG)、高密度脂蛋白胆因醇(HDL-C)、低密度脂蛋白胆因醇(LDL-C)之间的关系。结果老年组与非老年组相比,老年组TC、左房扩大、舒张功能减退及二尖瓣钙化患病率较高(P<0.05)。结论老年与非老年MHD患者的心脏结构和功能改变的临床特点不同,应有针对性地采取措施进行治疗。
Objective To investigate the difference of clinical features of cardiac remodeling in between elderlyand non-elderly maintenance hemodialysis patients.Methods A total of 112 MHD patients were divided into 2 groups： elderly group（〉60years, n=40） and non-elderly group（〈60years, n =72）.Cardiac structure and function were assessed with Doppler echocardiography, Hb, Alb, TC, TG, HDL-C, LDL-C were collected. These parameters were compared between two groups. Results The level of TC, incidence of left atrial enlargement, left ventricular diastolic dysfunction and mitral valve calcification were higher in elderly group than that in non-elderly group（P〈0.05）.Conclusion The clinical features of cardiac structure and function abnormalities were different between elderly and non-elderly MHD patients.Valid intervention measures and therapy should be taken.
出处
《中国卫生产业》
2013年第30期24-25,共2页
China Health Industry
基金
丹阳市社会发展项目(DK201110)
关键词
血液透析
超声心动图
心脏重构
Hemodialysis
Echocardiography
Cardiac remodeling
