首页|应用超声心动图联合TDI评估腹膜透析患者心功能可行性

应用超声心动图联合TDI评估腹膜透析患者心功能可行性

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目的 对应用超声心动图联合组织多普勒成像(TDI)评估腹膜透析患者心功能可行性进行分析.方法 选取 2021 年 10 月~2023 年 10 月我院收治的 60 例腹膜透析患者,患者于腹膜透析治疗前后采用超声心动图联合TDI检查,评估两组左心功能(舒张末期左室后壁厚度(LVPWTd)、舒张末期室间隔(IVSTd)、左室收缩末期内径(LVDs)、左室舒张末期内径(LVDd)、左房内径(LAD)、左室射血分数(LVEF)、左室舒张末期容积(LVEDV)、左室收缩末期容积(LVESV)、左室短轴缩短率(FS)、每搏输出量(SV)].结果 治疗后,患者的LVPWTd、IVSTd、LVDs、LVDd、LAD、LVEDV、LVESV、FS、SV高于治疗前,LVEF低于治疗前(P<0.05);患者心血管不良事件发生率为 21.67(13/60),经Spearman相关性分析发现LVEF、SV与腹膜透析患者心血管不良事件发生率具有相关性(P<0.05).结论 将超声心动图联合TDI技术应用于腹膜透析患者心功能的评估中,能为患者心功能的评估提供有益信息,有助于更全面地了解其心血管状况,从而降低心血管不良事件发生率.
Feasibility of Echocardiography Combined with TDI in Assessing Cardiac Function in Peritoneal Dialysis Patients
Objective:To analyze the feasibility of echocardiography combined with tissue Doppler imaging(TDI)in assessing cardiac function in peritoneal dialysis patients.Methods:A total of 60 patients with peritoneal dialy-sis(PD)who were treated in our hospital from October 2021 to October 2023 were selected,and were examined by e-chocardiography combined with TDI before and after PD to assess left ventricular function in both groups[left ventricu-lar posterior wall thickness at end-diastole(LVPWTd),interventricular septum at end-diastole(IVSTd),left ventricular diameter at end-systole(LVDs),left ventricular diameter at end-diastole(LVDd),left atrial diameter(LAD),left ven-tricular ejection fraction(LVEF),left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),left ventricular shortening rate(FS),stroke volume(SV)].Results:After treatment,the LVPWTd,IVSTd,LVDs,LVDd,LAD,LVEDV,LVESV,FS and SV of patients were higher than those before treatment,while LVEF was lower than that before treatment(P<0.05);The incidence of cardiovascular adverse events was 21.67%(13/60).Spear-man correlation analysis showed that LVEF and SV were associated with the incidence of cardiovascular adverse events in peritoneal dialysis patients(P<0.05).Conclusion:Echocardiography combined with TDI can provide useful informa-tion for the evaluation of cardiac function in peritoneal dialysis patients,help to understand their cardiovascular status more comprehensively and reduce the incidence of adverse cardiovascular events.

echocardiographytissue doppler imaging(TDI)peritoneal dialysis(PD)cardiac functionadverse cardiovascular events

钟群锋、谢金华、肖诗敏、骆炳嘉、刘宛其

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342400 江西赣州,赣南医科大学附属兴国医院

超声心动图 组织多普勒成像(TDI) 腹膜透析 心功能 心血管不良事件

2024

透析与人工器官
天津市泌尿外科研究所 中国生物医学工程学会人工器官分会

透析与人工器官

影响因子:0.809
ISSN:1005-0809
年,卷(期):2024.35(2)