摘要
目的探讨动静脉内瘘对心肾综合征患者心脏功能产生的影响。方法选择2013年2月-2015年2月心肾综合征患者（Ⅱ型）120例。创建动静脉内瘘作为其进行维持性血透的方式。内瘘术前后对患者进行心脏彩色超声心动图检测。对比术前术后患者在左心房内径（LAd）、左心室收缩末内径（LVESd）、左心室舒张末内径（LVEDd）、左心室射血分数（EF）、左心室每搏输出量（SV）以及右心室内径（RVd）等指标上的差异。结果与术前比较,患者术后的LAd、IVESd、RVd、LVEDd水平表现为程度有所不同的扩大（P〈0.05）;在EF方面,表现为一定的下降（P〈0.05）;在SV方面,术后表现为一定程度的增加,但是未表现出统计学差异（P〉0.05）。结论心肾综合征患者创建动静脉内瘘会导致患者的左心房以及心室腔扩大,左心室收缩功能下降。
Objective To study the impact of arteriovenous fistula on heart function in patients with cardiorenal syndrome. Methods 120 cases of patients with cardiorenal syndrome（type Ⅱ）were selected in our hospital from February, 2013 to February,2015.Arteriovenous internal fistula was createdas a means of its maintenance hemodialysis. Before and after the internal fistula, LAd（left atrium diameter）, LVESd（at the end of the left ventricular systolic diameter）, LVEDd（left ventricular end-diastolic diameter）, EF（left ventricular ejection fraction）, SV（left ventricular stroke output） and RVd（right ventricular diameter）of the patientswere monitored with cardiac color echocardiography detection. Compareddifferenceson indicatorsbefore and after the internal fistula. Results After the internal fistula, Theindicatorsof LAd, IVESd, RVd and LVEDd level, etc., showed the different degree of expansion（P 〈0.05）; the EFcharacterized by a certain decreased（P 〈0.05）; and the SVcharacterized by a certain degree of increase, but showed no significant difference（P 〈0.05）. Conclusion Creating arteriovenous fistula in patients with cardiorenal syndromecan lead to patients with left atrial and ventricular cavity expansion and left ventricular systolic functiondecreased.
出处
《中国处方药》
2016年第1期143-144,共2页
Journal of China Prescription Drug
关键词
动静脉内瘘
心肾综合征
心脏功能
Arteriovenous internal fistula
Cardiorenal syndrome
Heart function
