心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE
2014年
2期
149-152
,共4页
胡欣%李月芳%冯姝敏%马立作%黄艳
鬍訢%李月芳%馮姝敏%馬立作%黃豔
호흔%리월방%풍주민%마립작%황염
尿酸%红细胞%心力衰竭,充血性
尿痠%紅細胞%心力衰竭,充血性
뇨산%홍세포%심력쇠갈,충혈성
Uric acid%Erythrocytes%Heart failure,congestive
目的:观察高龄男性慢性心力衰竭(CHF)患者血尿酸(UA)、红细胞分布宽度(RDW)变化,并探讨其与心功能的相关性。方法:研究对象为高龄男性CHF患者60例(心功能Ⅱ级28例,心功能Ⅲ-Ⅳ级32例),心功能正常者30例(正常对照组),分别检测 UA、RDW、高敏C反应蛋白(hsCRP)水平,并行心脏彩超检查,比较不同心功能级别患者的各项指标变化。结果:与正常对照组比较,CHF组血清 UA[(318.2±54.3)μmol/L比(434.7±72.7)μmol/L]、RDW [(13.84±0.60)%比(15.79±0.74)%]、hsCRP[(2.23±0.56)mg/L比(6.35±2.34)mg/L]水平均显著升高,且随心功能分级加重而升高(P均<0.01);E/A[(1.02±0.36)比(0.75±0.13)]、LVEF[(59±9)%比(49±9)%]显著降低,且随心功能恶化更为降低(P均<0.01);心衰组 UA、RDW、hsCRP与 E/A、LVEF均呈负相关(r=-0.391~-0.731,P均<0.05);RDW与 hsCRP呈正相关(r=0.491,P<0.05)。结论:血尿酸、红细胞分布宽度与高龄男性患者的心功能相关,其检测有助于判断心衰严重程度并指导临床治疗。
目的:觀察高齡男性慢性心力衰竭(CHF)患者血尿痠(UA)、紅細胞分佈寬度(RDW)變化,併探討其與心功能的相關性。方法:研究對象為高齡男性CHF患者60例(心功能Ⅱ級28例,心功能Ⅲ-Ⅳ級32例),心功能正常者30例(正常對照組),分彆檢測 UA、RDW、高敏C反應蛋白(hsCRP)水平,併行心髒綵超檢查,比較不同心功能級彆患者的各項指標變化。結果:與正常對照組比較,CHF組血清 UA[(318.2±54.3)μmol/L比(434.7±72.7)μmol/L]、RDW [(13.84±0.60)%比(15.79±0.74)%]、hsCRP[(2.23±0.56)mg/L比(6.35±2.34)mg/L]水平均顯著升高,且隨心功能分級加重而升高(P均<0.01);E/A[(1.02±0.36)比(0.75±0.13)]、LVEF[(59±9)%比(49±9)%]顯著降低,且隨心功能噁化更為降低(P均<0.01);心衰組 UA、RDW、hsCRP與 E/A、LVEF均呈負相關(r=-0.391~-0.731,P均<0.05);RDW與 hsCRP呈正相關(r=0.491,P<0.05)。結論:血尿痠、紅細胞分佈寬度與高齡男性患者的心功能相關,其檢測有助于判斷心衰嚴重程度併指導臨床治療。
목적:관찰고령남성만성심력쇠갈(CHF)환자혈뇨산(UA)、홍세포분포관도(RDW)변화,병탐토기여심공능적상관성。방법:연구대상위고령남성CHF환자60례(심공능Ⅱ급28례,심공능Ⅲ-Ⅳ급32례),심공능정상자30례(정상대조조),분별검측 UA、RDW、고민C반응단백(hsCRP)수평,병행심장채초검사,비교불동심공능급별환자적각항지표변화。결과:여정상대조조비교,CHF조혈청 UA[(318.2±54.3)μmol/L비(434.7±72.7)μmol/L]、RDW [(13.84±0.60)%비(15.79±0.74)%]、hsCRP[(2.23±0.56)mg/L비(6.35±2.34)mg/L]수평균현저승고,차수심공능분급가중이승고(P균<0.01);E/A[(1.02±0.36)비(0.75±0.13)]、LVEF[(59±9)%비(49±9)%]현저강저,차수심공능악화경위강저(P균<0.01);심쇠조 UA、RDW、hsCRP여 E/A、LVEF균정부상관(r=-0.391~-0.731,P균<0.05);RDW여 hsCRP정정상관(r=0.491,P<0.05)。결론:혈뇨산、홍세포분포관도여고령남성환자적심공능상관,기검측유조우판단심쇠엄중정도병지도림상치료。
Objective:To observe changes of serum uric acid (UA)level and red cell distribution Width (RDW)in se-nile men With chronic heart failure (CHF),and explore their correlation With cardiac function.Methods:A total of 60 senile male CHF patients Were enrolled,including 28 cases of NYHA cardiac function class Ⅱ and 32 cases of NYHA class Ⅲ-Ⅳ.Another 30 cases With normal cardiac functionWere regarded as normal control group.Levels of UA,RDW and high sensitive C reactive protein (hsCRP)Were measured,and patients received color-coded Doppler echocardiography,change of every index Was compared among patients With different cardiac function class.Results:Compared With normal control group,there Were significant rise in serum levels of UA [(318.2± 54.3)μmol/L vs.(434.7±72.7)μmol/L],RDW [(13.84±0.60)% vs.(15.79±0.74)%]and hsCRP [(2.23 ±0.56)mg/L vs.(6.35±2.34)mg/L]in CHF group,and they significantly rose alongWith cardiac function class aggravated,P <0.01 all;there Were significant decrease in transmitral early diastolic peak floW velocity/transmitral late diastolic peak floWvelocity [E/A,(1.02±0.36)vs.(0.75±0.13)]and left ventricular ejection fraction [LVEF,(59±9)% vs.(49±9)%]in CHF group,and they significantly reduced along With cardiac function aggravated, P <0.01 both;in CHF group;UA,RDW and hsCRPWere negatively correlatedWith E/A and LVEF (r =-0.391~-0.731,P <0.05 all);RDW Was positively correlated With hsCRP (r =0.491,P <0.05).Conclusion: Serum uric acid and red cell distributionWidth are correlated to cardiac function in senile male patients,Which can help to judge the severity of heart failure and guide clinical treatment.