临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
21期
1752-1755
,共4页
姜升阳%龚芳%卢志贤%陶以嘉%姜东林
薑升暘%龔芳%盧誌賢%陶以嘉%薑東林
강승양%공방%로지현%도이가%강동림
扩张性心肌病%红细胞分布宽度%左心室射血分数%肾小球滤过率
擴張性心肌病%紅細胞分佈寬度%左心室射血分數%腎小毬濾過率
확장성심기병%홍세포분포관도%좌심실사혈분수%신소구려과솔
Dilated cardiomyopathy%Red cell distribution width%Left ventricular ejection fraction%Glomerular filtration rate
目的:探讨血液红细胞分布宽度( RDW)在扩张性心肌病( DCM)患者心脏泵血功能及肾功能损害评估中的作用。方法依据纽约心功能评级法( NYHA)评级标准,将44例DCM患者分为NYHAⅡ级13例、NYHAⅢ级14例和NYHAⅣ级17例。另取同期40名健康志愿者为对照组。对照组及DCM患者均于入院后第2日清晨空腹取血,测定血液RDW及血肌酐( Cr)水平,计算肾小球滤过率( GFR);同日行心脏彩色多普勒超声检查,测定左心室射血分数( LVEF);分析RDW与GFR、LVEF之间的相关性。结果与对照组相比,DCM患者血液RDW、Cr显著升高,而LVEF、GFR显著降低( P均<0.01)。组间比较结果显示,NYHA Ⅲ及NYHA Ⅳ组患者血液RDW、Cr水平显著高于NYHA Ⅱ组,而GFR、LVEF显著低于NYHAⅡ组(均P <0.05或0.01)。DCM患者血液RDW与LVEF、GFR均呈负相关性( r =-0.544,P <0.01;r =-0.406,P <0.01),GFR与LVEF呈正相关性( r =0.339,P <0.05)。结论 DCM患者血液RDW与心、肾功能之间存在相关性,RDW能够成为DCM患者心、肾功能评估的简便观察指标之一。
目的:探討血液紅細胞分佈寬度( RDW)在擴張性心肌病( DCM)患者心髒泵血功能及腎功能損害評估中的作用。方法依據紐約心功能評級法( NYHA)評級標準,將44例DCM患者分為NYHAⅡ級13例、NYHAⅢ級14例和NYHAⅣ級17例。另取同期40名健康誌願者為對照組。對照組及DCM患者均于入院後第2日清晨空腹取血,測定血液RDW及血肌酐( Cr)水平,計算腎小毬濾過率( GFR);同日行心髒綵色多普勒超聲檢查,測定左心室射血分數( LVEF);分析RDW與GFR、LVEF之間的相關性。結果與對照組相比,DCM患者血液RDW、Cr顯著升高,而LVEF、GFR顯著降低( P均<0.01)。組間比較結果顯示,NYHA Ⅲ及NYHA Ⅳ組患者血液RDW、Cr水平顯著高于NYHA Ⅱ組,而GFR、LVEF顯著低于NYHAⅡ組(均P <0.05或0.01)。DCM患者血液RDW與LVEF、GFR均呈負相關性( r =-0.544,P <0.01;r =-0.406,P <0.01),GFR與LVEF呈正相關性( r =0.339,P <0.05)。結論 DCM患者血液RDW與心、腎功能之間存在相關性,RDW能夠成為DCM患者心、腎功能評估的簡便觀察指標之一。
목적:탐토혈액홍세포분포관도( RDW)재확장성심기병( DCM)환자심장빙혈공능급신공능손해평고중적작용。방법의거뉴약심공능평급법( NYHA)평급표준,장44례DCM환자분위NYHAⅡ급13례、NYHAⅢ급14례화NYHAⅣ급17례。령취동기40명건강지원자위대조조。대조조급DCM환자균우입원후제2일청신공복취혈,측정혈액RDW급혈기항( Cr)수평,계산신소구려과솔( GFR);동일행심장채색다보륵초성검사,측정좌심실사혈분수( LVEF);분석RDW여GFR、LVEF지간적상관성。결과여대조조상비,DCM환자혈액RDW、Cr현저승고,이LVEF、GFR현저강저( P균<0.01)。조간비교결과현시,NYHA Ⅲ급NYHA Ⅳ조환자혈액RDW、Cr수평현저고우NYHA Ⅱ조,이GFR、LVEF현저저우NYHAⅡ조(균P <0.05혹0.01)。DCM환자혈액RDW여LVEF、GFR균정부상관성( r =-0.544,P <0.01;r =-0.406,P <0.01),GFR여LVEF정정상관성( r =0.339,P <0.05)。결론 DCM환자혈액RDW여심、신공능지간존재상관성,RDW능구성위DCM환자심、신공능평고적간편관찰지표지일。
Objective To investigate the roles of red cell distribution width in the cardiac blood-pumping function and renal lesion as-sessment of dilated cardiomyopathy( DCM)patients. Methods 44 dilated cardiomyopathy patients and 40 healthy volunteers were chosen into this study. According to NYHA classification,13 patients in NYHA class II,14 patients in NYHA class III and 17 patients in NYHA cases IV. The blood sample were taken in the morning of the day after admission with empty stomach. RDW and creatinine( Cr)were detected in all the DCM patients and healthy volunteers. Glomerular filtration rate( GFR)was calculated. Left ventricular ejection fraction( LVEF)were detected by heart color Doppler in the same day. The correlation among RDW,GFR and LVEF were analyzed. Results Compared to healthy volunteers, RDW and Cr were elevated significantly while LVEF and GFR decreased in DCM patients. Comparisons among the DCM patients groups,RDW and Cr in NYHA class III and NYHA class IV were significantly higher than those in NYHA class II group,while GFR and LVEF were significant-ly lower. There was a positive correlation between GFR and LVEF( r =0. 339,P <0. 05),a negative correlation between RDW and LVEF( r= -0. 544,P <0. 01),RDW and GFR( r = -0. 406,P <0. 01). Conclusion RDW is correlated to cardiac blood-pumping function and renal lesion in DCM patients. It can be one of the convenient markers to evaluate the cardiac blood-pumping function and renal lesion of DCM pa-tients.