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长期血液透析和腹膜透析方式对左心室功能影响的比较
Mehmet Usta1, Selma Kenar Tiryakioğlu2, Alparslan Ersoy3,4
1Department of Nephrology, University of Health Sciences, Bursa City Training and Research Hospital, 16140 Bursa, Turkey.
Reviews in cardiovascular medicine
|December 2, 2024
概括
在长期透析患者中,连续的门诊腹腔透析 (CAPD) 与血液透析 (HD) 相比,与左心室透析功能障碍和高的更高率有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 血液透析 (HD) 和持续的门诊腹腔透析 (CAPD) 影响左心室血动力学.
- 了解CAPD和HD对心脏功能的不同影响对于患者管理至关重要.
研究的目的:
- 为了比较CAPD和HD对左心室缩和放缩功能的影响.
- 在接受长期透析的患者中评估左心室缩和几何.
主要方法:
- 心声图被用来评估左心室功能,高和几何.
- 包括47名长期透析患者 (24名CAPD,23名HD).
主要成果:
- 在CAPD患者中,左心室肌肉质量,质量指数,E/e'比率和全球纵向应变显著增加.
- 扩张性功能障碍 (66.7%对26.1%) 和左心室缩 (91.7%对60.9%) 在CAPD组中更为普遍.
- CAPD,异常的全球纵向应变和血清的增加与扩张性功能障碍风险的增加有关.
结论:
- 长期的CAPD与明显更高的左心室扩张功能障碍率有关.
- 与HD相比,长期CAPD患者的左心室几何状况恶化更为明显.
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