河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
1期
45-48
,共4页
慢性心力衰竭%心肌肌钙蛋白I%心肌重构%心脏功能
慢性心力衰竭%心肌肌鈣蛋白I%心肌重構%心髒功能
만성심력쇠갈%심기기개단백I%심기중구%심장공능
Chronic heart failure%Cardiac troponin I%Myocardial remodeling%Cardiac func-tion
目的:探讨慢性心力衰竭(CHF)患者血清心肌肌钙蛋白I(cTnI)与心肌重构、心脏功能的相关性。方法:选择110例CHF失代偿患者,根据测得的血清cTnI浓度,分为观察组和对照组,观察组50例cTnI升高,对照组60例cTnI正常。应用心脏彩色多普勒超声诊断仪测定心脏结构改变指标及心脏功能指标,分析cTnI与心脏结构、功能指标间的相关性,并对比两组结果。结果:观察组和对照组比较,左心房内径(LAd)和左心室舒张末短轴内径(LVEDd)及左心室后壁厚度(LVPW)、室间隔厚度(IVS)、左心室射血分数(LVEF)、左心室重量(LVM)、左室短轴缩短率(FS)有明显差异(P<0.05);观察组血清cTnI浓度与LAd、LVEDd 正相关,与LVPW、IVS、LVM、LVEF、FS负相关( P<0.05);Logistic回归分析显示病程、LAd及LVEDd是导致血清cTnI浓度升高的危险因素。结论:CHF患者血清cTnI与其心肌重构和心脏功能有明显相关性,监测CHF患者的血清cTnI对治疗和预防心衰有重要的临床意义。
目的:探討慢性心力衰竭(CHF)患者血清心肌肌鈣蛋白I(cTnI)與心肌重構、心髒功能的相關性。方法:選擇110例CHF失代償患者,根據測得的血清cTnI濃度,分為觀察組和對照組,觀察組50例cTnI升高,對照組60例cTnI正常。應用心髒綵色多普勒超聲診斷儀測定心髒結構改變指標及心髒功能指標,分析cTnI與心髒結構、功能指標間的相關性,併對比兩組結果。結果:觀察組和對照組比較,左心房內徑(LAd)和左心室舒張末短軸內徑(LVEDd)及左心室後壁厚度(LVPW)、室間隔厚度(IVS)、左心室射血分數(LVEF)、左心室重量(LVM)、左室短軸縮短率(FS)有明顯差異(P<0.05);觀察組血清cTnI濃度與LAd、LVEDd 正相關,與LVPW、IVS、LVM、LVEF、FS負相關( P<0.05);Logistic迴歸分析顯示病程、LAd及LVEDd是導緻血清cTnI濃度升高的危險因素。結論:CHF患者血清cTnI與其心肌重構和心髒功能有明顯相關性,鑑測CHF患者的血清cTnI對治療和預防心衰有重要的臨床意義。
목적:탐토만성심력쇠갈(CHF)환자혈청심기기개단백I(cTnI)여심기중구、심장공능적상관성。방법:선택110례CHF실대상환자,근거측득적혈청cTnI농도,분위관찰조화대조조,관찰조50례cTnI승고,대조조60례cTnI정상。응용심장채색다보륵초성진단의측정심장결구개변지표급심장공능지표,분석cTnI여심장결구、공능지표간적상관성,병대비량조결과。결과:관찰조화대조조비교,좌심방내경(LAd)화좌심실서장말단축내경(LVEDd)급좌심실후벽후도(LVPW)、실간격후도(IVS)、좌심실사혈분수(LVEF)、좌심실중량(LVM)、좌실단축축단솔(FS)유명현차이(P<0.05);관찰조혈청cTnI농도여LAd、LVEDd 정상관,여LVPW、IVS、LVM、LVEF、FS부상관( P<0.05);Logistic회귀분석현시병정、LAd급LVEDd시도치혈청cTnI농도승고적위험인소。결론:CHF환자혈청cTnI여기심기중구화심장공능유명현상관성,감측CHF환자적혈청cTnI대치료화예방심쇠유중요적림상의의。
Objective: To analyze the correlation of chronic heart failure ( CHF ) patients with serum cardiac troponin I ( cTnI ) between cardiac remodeling and cardiac function.Method: 110 CHF patients were divided into the observation group(50 cases with elevated cTnI) and control group(60 cases with nor-mal cTnI).The cardiac structure change indicators and cardiac function indicators were measured , analyzed the correlation about cTnI between cardiac remodeling and cardiac function, and compared the results be-tween the two groups.Result: Compared with the control group, there were statistically significant in the LAd and LVEDd , LVPW, IVS, LVEF, LVM, FS( P <0.05);the cTnI and LAD, LVEDd were positive correlation (P<0.05), and with LVPW,IVS,LVM,LVEF,FSCO ,SV were negative correlation(P<0.05);Logistic regression analysis showed that the disease course , LAD and LVEDd were risk factors in leading to elevated serum cTnI.Conclusion:The cTnI of CHF patients significantly correlates with cardiac remodeling and cardiac function , It's important to monitor the cTnI of CHF on the treatment and prevention of heart fail-ure.