【摘要】 目的探讨慢性肾衰竭维持性血液透析(MHD)患者左室功能和颈动脉硬化情况及二者之间的关系。方法对38例MHD患者应用彩色B型超声检测颈动脉内-中膜厚度(IMT)、斑块、室间隔及左室后壁舒张末厚度、左室舒张末内径、射血分数等同时检测肾功、血脂等血清学指标。结果颈动脉斑块组28例,IMT、低密度脂蛋白、C反应蛋白、血磷明显高于无斑块组。室间隔、左室后壁厚度,左室、左房内径明显高于无钙化斑块组,左室射血分数明显低于无钙化斑块组。结论 MHD患者存在较高的颈动脉硬化率,且与左室肥厚关系密切。更多还原

【Abstract】 Objective To investigate the relationship between impaired left ventricular function and carotid atherosclerosis in different degrees in maintenance hemodialysis(MHD)patients.Methods Thirty-eight MHD patients were enrolled.The carotid artery-the intima-media thickness(IMT),plaque, and left ventricular posterior wall end-diastolic interventricular septum thickness,left ventricular end-diastolic diameter,ejection fraction were measured by color ultrasound,respectively.And the detection of renal,lipids and other serological were examined.Results The plaque was detected in 28 of the patients. The IMT,low-density lipoprotein,C-reactive protein,phosphorus were higher than those in non-plaque group.Interventricular septum thickness,left ventricular posterior wall thickness and left ventricular diameter,left atrial diameter was significantly higher than those in non-calcified plaque group,and left ventricular ejection fraction was significantly lower than non-calcified plaque group.Conclusion MHD patients have a higher rate of carotid atherosclerosis,and it has close relationship with left ventricular hypertrophy.更多还原