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慢性肾脏病患者左室结构、功能变化及相关因素分析

沈文清 邢艳芳 黄丽 钱捷 梁敏灵

实用医学杂志2012,Vol.28Issue(23):3896-3898,3.
实用医学杂志2012,Vol.28Issue(23):3896-3898,3.DOI:10.3969/j.issn.1006-5725.2012.23.016

慢性肾脏病患者左室结构、功能变化及相关因素分析

Changes of cardiac structure and function in patients with chronic renal disease and the related factors

沈文清 1邢艳芳 1黄丽 1钱捷 1梁敏灵1

作者信息

  • 1. 510150,广州医学院第三附属医院肾内科
  • 折叠

摘要

Abstract

Objective To investigate the changes of cardiac structure and function, and the related factors in patients with chronic renal disease. Methods 138 patients with chronic renal disease were measured by echocardiography for cardiac structure and function, and the serum iPTH and Lp-a levels were detected. And the correlation between iPTH, Lp-a levels and the cardiac structure, function were analysed. Results (1)With the decreased renal function, increased LVMI, reduced EF, higher serum iPTH and Lp-a levels were observed. (2) The iPTH levels were significantly negatively correlated to EF, and positively-correlated to LVMI (P〈 0.05); simultaneously, the Lp-a levels were negatively correlated with EF, and positively correlated with LVMI (P〈 0.05). (3)Advanced analysis showed that iPTH were positively correlated with Lp-a (P 〈 0.05). Conclusion This study supported that the levels of iPTH and Lp-a were correlated with changes of left ventricular structure and function in patients with chronic renal disease, and the intervention of iPTH and Lp-a may have important implications to improve cardiac function and outcomes of CKD patients.

关键词

慢性肾脏病/左心室结构及功能/甲状旁腺激素/脂蛋白-a

Key words

Chronic renal disease/ Cardiac structure and function/ Parathyroid hormone/ Lipoprotein-a

引用本文复制引用

沈文清,邢艳芳,黄丽,钱捷,梁敏灵..慢性肾脏病患者左室结构、功能变化及相关因素分析[J].实用医学杂志,2012,28(23):3896-3898,3.

实用医学杂志

OA北大核心CSTPCD

1006-5725

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