2型糖尿病肾病慢性肾衰竭超声心动图特征的多因素分析

Study the cardiac involvement detected by color doppler echocardiogram in type Ⅱ diabetic patients with chronic renal failure by multiple factor analysis

目的 分析 2型糖尿病肾病肾衰竭患者超声心动图改变特点。方法 统计糖尿病肾衰竭的超声心动图参数和多项相关因素 ,进行多因素分析。结果 2型糖尿病肾病肾衰竭心脏病变以左心系统扩大与肥厚、二尖瓣返流和节段性室壁运动下降为特点。左房左室扩大相关因素有尿微量白蛋白、血脂和血磷 ;左室肥厚相关因素为血压血脂、血色素、尿毒素和低蛋白血症。结论 糖尿病肾衰竭患者心脏病变较重 ,受多因素影响 ,尿微量白蛋白能够预测心脏病变危险性 ,应受重视。相关因素中以血压的作用突出 。

Objective Study the cardiac involvement detected by color doppler echocardiogram in type Ⅱ diabetic patients with chronic renal failure. Methods Studied the morphologic and functional parameters by doppler echocardiogram. Made multiple factors analysis to investigate relationship between the parameters and related factors. Results The most frequent cardiac involvement were left atrium and left ventricle changes, valve regurgitation and abnormity of regional ventricular wall motion. Enlargement of left atrium and left ventricle were related with microalbuminuria, hyperlipemia and hyperphosphoremia; Left ventricle thickening were related with blood pressure, hyperliperlipemia, hemoglobin, uremia and hypoproteinemia. Conclusion There were many related factors about the results of doppler echocardiogram in type Ⅱ diabetic patients with chronic renal failure. Microalbuminuria could predict the dangerous of cardiac involvement. Control of blood pressure may ameliorate the cardiac involvement in the patients.