维持性血液透析患者左心室舒张功能障碍因素分析(1)
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[摘要] 目的 探讨维持性血液透析患者左心室舒张功能障碍的发生率及相关因素。 方法 对46例维持性血液透析患者进行超声心动图检查，将对象分为阳性组和阴性组，每组各24例，研究其氮、血红蛋白、血浆白蛋白，并进行统计学分析。 结果 46例维持性血液透析患者中，检测两组年龄、透析龄、每周透析时间、血肌酐、血尿素声心动图后发现左心室舒张功能障碍28例，发生率为60.9%，阳性组年龄、血红蛋白与阴性组比较差异有统计学意义(P < 0.05)；患者的年龄与左心室舒张功能障碍的发生有明显相关性(P < 0.05)。 结论 维持性血液透析患者左心室舒张功能障碍不少见，本研究显示患者年龄因素是唯一一个有明显相关性的指标。
[关键词] 血液透析；左心室舒张功能障碍；血红蛋白；年龄
[中图分类号] R541.6；R692 [文献标识码] A [文章编号] 1673-7210(2012)08(c)-0062-02
Factor analysis of left ventricular diastolic dysfunction of patients undergoing maintenance hemodialysis
ZENG Yuran WANG Weihong TAN Fengjiao LIN Tanfa
Department of Blood Purification, the First Affiliated Hospital of Medical College of Shantou University, Guangdong Province, Shantou 515041, China
[Abstract] Objective To investigate the incidence and related factors of left ventricular diastolic dysfunction in patients undergoing maintenance hemodialysis. Methods A total of 46 patients undergoing maintenance hemodialysis were given echocardiography and then they were divided into the positive group and the negative group based on whether they had left ventricular diastolic dysfunction. Age, age of dialysis, weekly duration of dialysis, serum creatinine, blood urea nitrogen, hemoglobin and serum albumin of the two groups were detected. Results In the 46 patients undergoing maintenance hemodialysis, echocardiography discovered 28 patients with left ventricular diastolic dysfunction, with the incidence rate of 60.9%. The results showed that age and hemoglobin were significantly different between the two groups (P < 0.05), but only age was significantly correlated to the left ventricular diastolic dysfunction (P < 0.05). Conclusion Left ventricular diastolic dysfunction is not uncommon in patients undergoing maintenance hemodialysis and patients' age is its only significant indicator ......
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