中国现代医学杂志2017，Vol.27Issue(4)：110-115,6.DOI:10.3969/j.issn.1005-8982.2017.04.023
营养不良-炎症综合征对维持性血液透析患者心血管钙化的影响
Effects of malnutrition inflammation complex syndrome on cardiovascular calcification in maintenance hemodialysis patients
常美香 1刘利萍 2翁敏3
作者信息
- 1. 昆明医科大学第一附属医院肾内科,云南 昆明 650000
- 2. 昆明医科大学第一附属医院心脏彩超室,云南 昆明 650000
- 3. 昆明医科大学第一附属医院临床营养科,云南 昆明 650000
- 折叠
摘要
Abstract
Objective To explore the relationship between malnutrition inflammation complex syndrome (MICS) and cardiovascular calcification in maintenance hemodialysis (MHD) patients. Methods Sixty patients with MHD≥3 months were enrolled into this respective study. The relevant laboratory examinations were completed. Abdominal aortic calcification score (AACS) was determined by abdominal lateral radiographs, and the valve calcification was detected by cardiac ultrasonography. The malnutrition inflammation score (MIS score) was used to test MICS of the MHD patients. The patients with MICS were divided into mild (MIS ≤ 4), moderate (5 ≤ MIS ≤ 8) and severe groups (MIS ≥ 9). Results The MICS occurrence was 100.0%, including 19 cases (31.7%) in the mild group, 27 cases (45.0%) in the moderate group, and 14 cases (23.3%) in the severe group. The cardiovascular calcification occurrence was 68.3%, the AAC occurrence was 48.3%, the valve calcification occurrence was 51.7%. The two groups of patients with or without cardiovascular calcification showed significant differences in age, blood calcium, and MIS score. Logistic regression analysis showed that MIS score was the risk factor for cardiovascular calcification. Conclusions MHD patients have widespread malnutrition inflammation complex syndrome (MICS). The more serious the MICS is, the more easily the cardiovascular calcification occurs. Moreover, MICS is the risk factor for cardiac valve calcification.关键词
维持性血液透析/营养不良-炎症综合征/腹主动脉钙化/瓣膜钙化Key words
maintenance hemodialysis/malnutrition inflammation complex syndrome/abdominal aortic calcification/valve calcification分类
医药卫生引用本文复制引用
常美香,刘利萍,翁敏..营养不良-炎症综合征对维持性血液透析患者心血管钙化的影响[J].中国现代医学杂志,2017,27(4):110-115,6.
