慢性肾脏病患者不同分期左心功能的超声评价.pdf

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1、临床超重堂杂志2015年3月第l7卷第3期JClinUl~asoundinMed，March2015，Vo1．17，No．3·163··Il缶床研究·慢性肾脏病患者不同分期左心功能的超声评价杨晓丽赵亚丽郭娇贤摘要目的探讨组织多普勒成像(TDI)测量Tei指数评价慢性肾脏病(CRD)患者左心功能的价值。方法81例CRD患者根据肾小球滤过率(GFR)分为CRI-2期组36例、CRD3~5期组45例，健康体检50例为对照组，均行常规超声心动图和TDI检查，计算Tei指数，比较各组心脏结构和功能指标。结果CRD1~2期组室间隔舒张末期厚度(IVSTd)及左室Tei指数值较对照

2、组高(P

3、感、全面地综合评价心室整体功能。关键词超声心动描记术；组织多普勒；Tei指数；慢性肾脏病；心功能，左[中图法分类号]R540．45[文献标识码]AUltrasonicevaluationofdifferentstagesonleftventricularfunctioninpatientswithchronicrenaldiseaseYangXiaoli，ZhaoYali，GuoJiaoxianDepartmentofUltrasound，FuyongPeople’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