CAJ | 학술논문

目的：探讨维持性血液透析（MHD）患者心脏瓣膜钙化与血脂代谢紊乱的关系。方法菲利普 IU33彩色多普勒超声诊断仪检测80例患者心脏瓣膜钙化情况，将患者分为钙化组（18例）和对照组（62例），比较两组患者血红蛋白、血清白蛋白、血脂、心脏结构等指标。结果钙化组年龄及透析龄高于对照组（ P ＜0．01），左房扩大及左心室舒张功能减退（LVDD）发生率高于对照组（ P ＜0．01）；总胆固醇（TC）、低密度脂蛋白胆固醇（LDL C）、载脂蛋白 B（Apo B）均高于对照组。结论维持性血液透析患者心脏瓣膜钙化与年龄、透析龄、血脂异常有关，易发生心脏结构异常。
목적：탐토유지성혈액투석（MHD）환자심장판막개화여혈지대사문란적관계。방법비리보 IU33채색다보륵초성진단의검측80례환자심장판막개화정황，장환자분위개화조（18례）화대조조（62례），비교량조환자혈홍단백、혈청백단백、혈지、심장결구등지표。결과개화조년령급투석령고우대조조（ P ＜0．01），좌방확대급좌심실서장공능감퇴（LVDD）발생솔고우대조조（ P ＜0．01）；총담고순（TC）、저밀도지단백담고순（LDL C）、재지단백 B（Apo B）균고우대조조。결론유지성혈액투석환자심장판막개화여년령、투석령、혈지이상유관，역발생심장결구이상。
O bjective To explore the relationship betw een cardiac va lve ca lcification and blood lipid m e tabo lic disorder in pa-tients w ith m aintenance hem odialysis .M ethods The valve calcification w as assessed using Philip IU 33 co lor Doppler ultrasonogra-phy in 80 patients .A l patients w ere divided into tw o groups :C alcification g roup( n= 18) and contro lgroup ( n= 62) .Hem og lobin,ser-um album in,serum lipid and heart structure w ere com pared betw een tw o groups .Results Age and duration of dialysis w ere longer in calcification group.In calcification group ,incidence of left atria l enlargem ent and LVDD ,the level of TC ,LDL C ,Apo B w ere higher than that in contro l group.C onclusion C ardiac valve calcification in patients w ith m aintenance hem odialysis w ere closely related to age ,duration of dialysis ,dyslipidem ia,prone to heart structural abno rm alities .