维持性血液透析对老年肾衰竭患者心脏结构与功能损害的影响

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (775 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the effect of maintenance hemodialysis on cardiac structure, function and damage in elderly patients with renal failure.Methods A retrospective analysis was performed of elderly patients with renal failure treated in Shanxi Provincial Corps Hospital between July 2017 and October 2019. Forty-six patients on standard hemodialysis and another forty-six patients on non-standard hemodialysis were assigned to the observation group and control group. Three months into dialysis, blood pressure, blood routine indexes, echocardiographic indexes, and electrocardiogram Q-T dispersion were compared between the two groups of patients.Results There were no significant differences in blood pressure, blood routine indicators, echocardiographic indicators or electrocardiogram Q-T dispersion between the two groups before dialysis (P>0.05). After three months of dialysis,the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group, while the levels of hemoglobin and hematocrit were higher. The difference between the two groups was statistically significant (P<0.05).Besides, the levels of LVEDD, LVESD, IVST and LVMI were lower, and the difference between the two groups was statistically significant (P<0.05). Q-Td and Q-Tcd in the observation group were lower than those in the control group, and the difference between the two groups was statistically significant (P<0.05).Conclusions Abnormalities of cardiac structure and function are common in elderly patients with renal failure. Maintenance hemodialysis can effectively improve heart structure and reduce functional damage in these patients, so it should be used more widely.

Key words： elderly renal failure maintenance hemodialysis cardiac structure and function

Received: 11 February 2020

ZTFLH:	R459.5
	R445.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Xiaoxia
	YANG Ming
	SHEN Guohong

Cite this article:

WANG Xiaoxia,YANG Ming,SHEN Guohong. Effect of maintenance hemodialysis on cardiac structure, function and damage in elderly patients with renal failure[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2020, 31(7): 584-587.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2020/V31/I7/584

[1]	陈小琳,慕婷,雷洁.HFHD与HD治疗在ESRD患者中的疗效及生存率比较[J].川北医学院学报,2019,34(5):622-624.
[2]	李茜,丁武杰,范彦君, 等.维持性血液透析患者红细胞分布宽度、超敏C反应蛋白与左心室肥厚的临床研究[J].中国中西医结合肾病杂志,2019,20(6):504-507.
[3]	邹杨,洪大情,夏菊花, 等.老年维持性血液透析患者心血管钙化危险因素分析[J].心肺血管病杂志,2019,38(1):64-68.
[4]	李垚瑶,李梦思,郑艳丹, 等.维持性血液透析患者铁代谢水平对心脏结构及功能的影响[J].临床肾脏病杂志,2018,18(1):12-16.
[5]	梁维,赵静,冯玲, 等.影响维持性血液透析慢性肾功能衰竭患者并发心血管疾病的相关危险因素[J].解放军医药杂志,2019,31(12):81-84.
[6]	刘莹,陈畅,刘辉.连续性血液透析对多器官功能衰竭患者肾功能及血流动力学水平的改善[J].中国急救复苏与灾害医学杂志,2019,14(10):953-956.
[7]	刘洪涛,王志刚,尹立雪.超声心动图评价慢性肾功能衰竭患者血液透析前后右心室功能[J].临床超声医学杂志,2018,20(5):310-313.
[8]	李垚瑶,郑艳丹,鲁晓涵, 等.维持性血液透析患者心脏结构及功能与骨形态发生蛋白2的关系[J].武汉大学学报(医学版),2019,40(2):256-260.
[9]	杨军,曾建,孙红亮.维持性血液透析患者血清钙磷及PTH水平与心脏结构功能的相关性[J].中国临床研究,2019,32(4):527-530.
[10]	胡英,孙尚萍,甘良英, 等.维持性血液透析患者透析中血压变异性及其相关因素的横断面调查[J].中国血液净化,2019,18(8):531-534.
[11]	撒利建,马蓓佳,赵瑛瑛.不同腹膜透析龄患者血红蛋白变异性与心脏结构及功能相关性分析[J].中华实用诊断与治疗杂志,2019,33(1):43-46.
[12]	李开斌,谭微,唐雪莲, 等.维持性血液透析对老年慢性肾衰竭合并心力衰竭患者心脏功能及血浆NT-proBNP的影响[J].河北医药,2017,39(17):2667-2669.
[13]	李转欢,张铿,董杰成.从心脏结构功能变化探讨不同血液净化方式对透析中低血压的影响[J].中国血液净化,2017,16(8):522-527.
[14]	卢伟娟,陈鹏,吴红萍, 等.慢性肾功能衰竭晚期患者血液透析前后QT间期及QT离散度的观察[J].吉林医学,2018,39(6):1017-1019.
[15]	朱士彦,甘平,吴楚海, 等.老年维持性血液透析患者心脏电生理变化与心血管疾病相关性[J].中国老年学杂志,2019,34(3):515-517.