不同类型心力衰竭患者胆红素水平与超声心动图参数的相关性

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1、授予单位代码10089学号或申请号20153551中国图书分类号R541.6HebeiMedicalUniversity硕士学位论文专业学位不同类型心力衰竭患者胆红素水平与超声心动图参数的相关性研究生：吴丹导师：刘超教授专业：内科学二级学院：第一医院2018年3月目录中文摘要············································································································1英文摘要···········································

2、·································································2英文缩写············································································································4研究论文不同类型心力衰竭患者胆红素水平与超声心动图参数的相关性前言··················································································

3、··························5材料与方法································································································6结果··········································································································7附表······················································

4、····················································8讨论··········································································································15结论··········································································································18参考文献·················

5、·················································································18综述肝功能测定在心力衰竭中的价值分析················································21致谢··················································································································27个人简历·····················

6、·····················································································28中文摘要不同类型心力衰竭患者胆红素水平与超声心动图参数的相关性摘要目的：探讨不同类型心力衰竭胆红素水平与超声心动图的关系。方法：回顾性分析2005年1月至2010年3月在河北医科大学第一医院心内科住院治疗的442例心衰患者，分析不同类型(射血分数减低性和射血分数保留性)心力衰竭胆红素水平与超声心动图参数的关系。这些参数包括左室射血分数、左房前后径、右房横径、右室舒张末期内径、左室舒张末期内径。所有的参数均应用体

7、表面积进行标准化处理。结果：射血分数减低性心力衰竭（HFrEF）组患者总胆红素（TBil）、直接胆红素（DBil）异常的发生率及TBil、DBil水平均高于射血分数保留性心力衰竭（HFpEF）组（P<0.05)。HFrEF组TBil水平与左室射血分数相关（P<0.05），TBil、DBil与心脏各房室腔大小无明显相关性。HFpEF组TBil、DBil水平与右房横径、右室舒张末期内径、左房横径显著相关（P<0.05），与左室舒张末期内径呈负相关（P<0.05），与左室射