慢性腎臟病患者不同分期左心功能的超聲評價.pdf

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1、臨床超重堂雜志2015年3月第l7卷第3期JClinUl~asoundinMed，March2015，Vo1．17，No．3·163··Il缶床研究·慢性腎臟病患者不同分期左心功能的超聲評價楊曉麗趙亞麗郭嬌賢摘要目的探討組織多普勒成像(TDI)測量Tei指數(shù)評價慢性腎臟病(CRD)患者左心功能的價值。方法81例CRD患者根據(jù)腎小球濾過率(GFR)分為CRI-2期組36例、CRD3~5期組45例，健康體檢50例為對照組，均行常規(guī)超聲心動圖和TDI檢查，計算Tei指數(shù)，比較各組心臟結構和功能指標。結果CRD1~2期組室間隔舒張末期厚度(IVSTd)及左室Tei指數(shù)值較對照

2、組高(P

3、感、全面地綜合評價心室整體功能。關鍵詞超聲心動描記術；組織多普勒；Tei指數(shù)；慢性腎臟??；心功能，左[中圖法分類號]R540．45[文獻標識碼]AUltrasonicevaluationofdifferentstagesonleftventricularfunctioninpatientswithchronicrenaldiseaseYangXiaoli，ZhaoYali，GuoJiaoxianDepartmentofUltrasound，F(xiàn)uyongPeople’SHospitalofBaoanDistrict，Shenzhen518103，ChinaABSTRAC

4、TObjectiveToexplorethevalueofTeiindexmeasuredbytissueDopplerimaging(TDI)inassessingleftventricular(LV)functionofpatientswithchronicrenaldisease(CRD)．MethodsAtotalof81patientswithCRDweredividedintoCRD1~2stage(n=36)andCRD3-5stage(n=45)accordingtoglomerularfiltrationrate，and50controlsubjec

5、tswereenrolledinthisstudy．AllsubjectsunderwentroutineechocardiographyandTDI，theTeiindexwascalculated．Theparametersofheartstructureandventficularfunctionoftwogroupswerecomparativelyanalyzed．ResultsComparedwithcontrols，theIVSTdatenddiastoleandTeiindexinCRD1~2stagegroupwereincreased(P<0．05

6、)，LV’SEa／Aaweredecreasedcompared(P

7、trolsandCRD1~2stagegroup(P<0．01)．LV’SEa／AaandE／AofCRD3~5stagegroupobviouslydecreasedcomparedwiththecontrolsandCRD1-2stagegroup(P<0．01)．TherewasnosignificantdiferenceofLVejectionfractionamongthreegroups．ConclusionCRD1~2stagesubjectscanleadtothedeclineofLVfunction，CRD3~5stagesubj