蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2014年
10期
1409-1411
,共3页
尿毒症%动静脉内瘘%左心%超声心动图
尿毒癥%動靜脈內瘺%左心%超聲心動圖
뇨독증%동정맥내루%좌심%초성심동도
uremia%arteriovenous fistula%left cardiac%echocardiography
目的：探讨尿毒症患者动静脉内瘘6个月后对左心结构和功能的影响。方法：应用超声心动图检查40例尿毒症患者血液透析前和透析6个月后的左心室结构变化指标左心室舒张末期内径、左心房内径、室间隔厚度、左心室后壁厚度和左心室质量指数及相对室壁厚度和心脏收缩功能变化指标(左心室射血分数、短轴缩短率、每搏输出量、心输出量及心指数)，并进行对照分析。结果：与透析前比较，尿毒症患者动静脉内瘘6个月后，室间隔厚度、左心室后壁厚度、左心室质量指数和相对室壁厚度均下降(P<0.01)，左心室射血分数、每搏输出量、心输出量和心指数均增加(P<0.01)。动静脉内瘘前后左心室舒张末期内径、左心房内径及短轴缩短率差异均无统计学意义(P>0.05)。结论：血液透析早期部分尿毒症患者的左心室肥厚可以好转。超声心动图是检测左心结构与功能的重要方法。
目的：探討尿毒癥患者動靜脈內瘺6箇月後對左心結構和功能的影響。方法：應用超聲心動圖檢查40例尿毒癥患者血液透析前和透析6箇月後的左心室結構變化指標左心室舒張末期內徑、左心房內徑、室間隔厚度、左心室後壁厚度和左心室質量指數及相對室壁厚度和心髒收縮功能變化指標(左心室射血分數、短軸縮短率、每搏輸齣量、心輸齣量及心指數)，併進行對照分析。結果：與透析前比較，尿毒癥患者動靜脈內瘺6箇月後，室間隔厚度、左心室後壁厚度、左心室質量指數和相對室壁厚度均下降(P<0.01)，左心室射血分數、每搏輸齣量、心輸齣量和心指數均增加(P<0.01)。動靜脈內瘺前後左心室舒張末期內徑、左心房內徑及短軸縮短率差異均無統計學意義(P>0.05)。結論：血液透析早期部分尿毒癥患者的左心室肥厚可以好轉。超聲心動圖是檢測左心結構與功能的重要方法。
목적：탐토뇨독증환자동정맥내루6개월후대좌심결구화공능적영향。방법：응용초성심동도검사40례뇨독증환자혈액투석전화투석6개월후적좌심실결구변화지표좌심실서장말기내경、좌심방내경、실간격후도、좌심실후벽후도화좌심실질량지수급상대실벽후도화심장수축공능변화지표(좌심실사혈분수、단축축단솔、매박수출량、심수출량급심지수)，병진행대조분석。결과：여투석전비교，뇨독증환자동정맥내루6개월후，실간격후도、좌심실후벽후도、좌심실질량지수화상대실벽후도균하강(P<0.01)，좌심실사혈분수、매박수출량、심수출량화심지수균증가(P<0.01)。동정맥내루전후좌심실서장말기내경、좌심방내경급단축축단솔차이균무통계학의의(P>0.05)。결론：혈액투석조기부분뇨독증환자적좌심실비후가이호전。초성심동도시검측좌심결구여공능적중요방법。
Objective:To assess the left cardiac structure and function after 6 months on uremia patients undergoing arteriovenous fistula( AVF) . Methods:The indexes of left cardiac structure and systolic function were examined and analyzed by echocardiography from 40 uremia patients before and six months after AVF. The cardiac structural indexes were including left ventricular diameter of diastole(LVDd),left atrium diameter(LAD),interventricular septum(IVS),left ventricular posterior wall(LVPW),left ventricular mass index(LVMI) and relative wall thickness(RWT);the systolic functional indexes were including ejection fraction(EF),fraction shorten(FS),strove volume(SV),cardiac output(CO) and cardiac index(CI). Results:Compared with echocardiographic indexes before AVF,after treatment for 6 months,IVS,LVPW,LVMI and RWT were decreased(P<0. 05);EF,SV,CO and CI were increased (P<0. 01). There were no significant differences on LVDd,LAD and FS(P>0. 05). Conclusions:Part of uremia patients with left ventricular hypertrophy can be improved in the early period of AVF. Echocardiography is an important method for detection the left cardiac structure and function.
