心脏彩超定量分析肾衰竭维持性透析患者心脏结构与功能的价值

doi:10.3969/j.issn.1006-6233.2024.10.012

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摘要 目的:分析心脏彩超定量分析肾衰竭维持性透析患者心脏结构与功能的价值。方法:以2021年11月至2024年3月于本院接受维持性透析治疗的肾衰竭患者122例为研究组,另选取同期于本院就诊的肾衰未行维持性透析患者143例为对照组。所有研究对象均行心脏彩超定量分析,获取心脏结构和功能参数,并对比两组的心脏结构和功能参数。结果:研究组的升主动脉内径(AAo)、左室后壁厚度(LVPW)、室间隔厚度(IVS)高于对照组(P<0.05);两组间主动脉根部内径(AARd)、左房前后径(LA)、左室舒张内径(LVDd)、左室收缩内径(LVDs)比较差异无统计学意义(P>0.05)。研究组的右室流出道血流速度积分(VTI)、肺动脉舒张早期反流速、肺动脉舒张末期反流速、右心室射血时间(ET)、右室射血加速时间(AT)、三尖瓣环平面收缩期位移(TAPSE)、左室短轴缩短率(FS)、左心室射血分数(LVEF)、主动脉流速、肺动脉流速、E峰、A峰高于对照组(P<0.05);两组三尖瓣反流最大速度(TRvmax)、左心室舒张末期容积 (LVEDV)比较差异无统计学意义(P>0.05),研究组的E/A比值、左心室收缩末期容积(LVESV)、肺血管阻力(PVR)低于对照组(P<0.05)。结论:通过心脏彩超定量分析可获得心脏结构与功能参数,从而准确评估肾衰竭维持性透析患者的心脏结构与功能。

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	魏言芳
	胡敏
	张赟辉

关键词 ：肾衰竭, 维持性透析治疗, 心脏彩超定量分析, 心脏结构, 心脏功能

Abstract：Objective: To analyze the value of quantitative echocardiography in assessing cardiac structure and function in patients with renal failure undergoing maintenance dialysis. Methods: A total of 122 renal failure patients receiving maintenance dialysis at our hospital from November 2021 to March 2024 were selected as the study group, and 143 renal failure patients who had not undergone maintenance dialysis during the same period were selected as the control group. All subjects underwent quantitative echocardiography to obtain cardiac structure and function parameters, and these parameters were compared between the two groups. Results: The study group had higher aortic root diameter (AAo), left ventricular posterior wall thickness (LVPW), and interventricular septal thickness (IVS) compared to the control group (P<0.05). There were no statistically significant differences in aortic root diameter (AARd), left atrial anteroposterior diameter (LA), left ventricular end-diastolic diameter (LVDd), or left ventricular end-systolic diameter (LVDs) between the two groups (P>0.05). The study group had higher values for right ventricular outflow tract velocity time integral (VTI), early diastolic pulmonary regurgitation velocity, late diastolic pulmonary regurgitation velocity, right ventricular ejection time (ET), right ventricular acceleration time (AT), tricuspid annular plane systolic excursion (TAPSE), fractional shortening (FS), left ventricular ejection fraction (LVEF), aortic velocity, pulmonary artery velocity, E peak, and A peak compared to the control group (P<0.05). There was no significant difference between the two groups in terms of maximum tricuspid regurgitation velocity (TRvmax) or left ventricular end-diastolic volume (LVEDV) (P>0.05). The E/A ratio, left ventricular end-systolic volume (LVESV), and pulmonary vascular resistance (PVR) were lower in the study group than in the control group (P<0.05). Conclusion: Quantitative echocardiography can provide comprehensive cardiac structure and function parameters, enabling accurate assessment of cardiac function and structure in patients with renal failure undergoing maintenance dialysis.

Key words： Renal failure Maintenance dialysis Quantitative echocardiography Cardiac structure Cardiac function

基金资助:2022年度安徽省卫生健康科研项目,(编号:AHWJ2022b108)

引用本文:

魏言芳, 胡敏, 张赟辉. 心脏彩超定量分析肾衰竭维持性透析患者心脏结构与功能的价值[J]. 河北医学, 2024, 30(10): 1649-1652.
WEI Yanfang, HU Min, ZHANG Yunhui. Value of Quantitative Echocardiography in Analyzing Cardiac Structure and Function in Patients with Renal Failure Undergoing Maintenance Dialysis. HeBei Med, 2024, 30(10): 1649-1652.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2024.10.012 或 http://www.hbyxzzs.cn/CN/Y2024/V30/I10/1649

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