尿毒症患者动静脉内瘘后左心变化的超声研究

The Echocardiographic Study of Left Cardiac on Uremia Patients Treated with Arteriovenous Fistula

目的:探讨尿毒症患者行动静脉内瘘(AVF)透析1年后对左心结构和收缩功能的影响。方法:应用超声心动图检查38例尿毒症患者AVF前和透析1年后的左心结构和收缩功能指标的变化,并进行对照分析。结果:与透析前比较,尿毒症患者AVF透析1年后,LVDd、LVDs、LAD及SV、CO、CI较透析前增大,差异有显著性(P<0.05)。IVS、LVPW及EF、FS值变化不大,差异无统计学意义(P>0.05)。结论:尿毒症患者AVF透析1年后左室结构和收缩功能有所改变。超声心动图是检测左心结构与收缩功能变化的重要方法。

Objective：To assess the effects of left cardiac structure and systolic function on Uremia patients treated with arteriovenous fistula （AVF）. Methods：The indexes of left cardiac structure and systolic function were examined and analyzed by echocardiography. We acquired the date from 38 cases with uremia patients before AVF and after AVF for one year .and one year later after AVF. Results：Compared with echocardiographic index before AVF, LVDd, LVDs, LAD and SV, CO, CI were increased. The differences had a statistical significance. IVS, LVPW and EF, FS had a slightly increase, there was no significant difference. Conclusion：The left cardiac structure and systolic function have remodeled on uremia patients treated with AVF for one year. Echocardiography is an important method for detection the changes.