| 维持性血液透析患者颈动脉钙化相关因素分析 |
| |
| 引用本文： | 陈洪滔,何永成,曾爱莲,栾韶东,万启军,陈海波.维持性血液透析患者颈动脉钙化相关因素分析[J].中国中西医结合肾病杂志,2009,10(7):610-612. |
| |
| 作者姓名： | 陈洪滔 何永成 曾爱莲 栾韶东 万启军 陈海波 |
| |
| 作者单位： | 1. 广东省深圳市第二人民医院肾内科,深圳,518035
2. 广东省深圳市第二人民医院心内科,深圳,518035 |
| |
| 摘 要： | 目的：探讨慢性肾衰竭维持性血液透析（MHD）患者颈动脉钙化情况并分析相关因素。方法：对35例MHD患者应用彩色B型超声仪观测双侧颈动脉内膜-中膜厚度（IMT）及钙化情况,同时记录透析龄、收缩压、脉压差,抽血检测血钙、磷、血胆固醇、三酰甘油、白蛋白、C反应蛋白（CRP）、甲状旁腺素,并计算钙磷乘积。结果：35例终末期肾病（ESRD）患者18例（51.4%）存在颈动脉钙化。钙化组IMT值较无钙化组显著增高（P〈0.01）,透析龄、收缩压、脉压差、血磷、钙磷乘积、CRP较无钙化组明显增高（P〈0.05）,而钙化组血浆白蛋白较无钙化组显著降低（P〈0.05）。结论：IMT值、透析龄、血磷、钙磷乘积增高是颈动脉钙化的主要影响因素,收缩压、脉压差、CRP升高和低血浆白蛋白与颈动脉钙化密切相关。MHD患者存在较高的颈动脉钙化率。
|
| 关 键 词： | 慢性肾衰竭 血液透析 动脉钙化 危险因素 颈动脉超声 |
Correlation Factors with Carotid Artery Calcification in Maintenance Hemodialysis Patients |
| |
| CHEN Hongtao,HE Yongcheng,ZENG Ailian,et al.Correlation Factors with Carotid Artery Calcification in Maintenance Hemodialysis Patients[J].Chinese Journal of Integrated Traditional and Western Nephrology,2009,10(7):610-612. |
| |
| Authors: | CHEN Hongtao HE Yongcheng ZENG Ailian |
| |
| Abstract: | Objective:To investigate prevalence and correlation factors of carotid calcification and in maintenance hemodialysis patients.Methods:The intima-media thickness(IMT) and calcification degree of bilateral carotid artery were detected by ultrasonography in 35 maintenance hemodialysis(MHD) patients.Years on hemodialysis,systolic/pulse blood pressure,serum calcium/phosphorus and its product,serum lipid profile,C-reaction protein(CRP),intact-parathyroid hormone(i-PTH) were checked at the same time.Results:Caroti... |
| |
| Keywords: | Chronic renal failure Hemodialysis Artery calcification Risk factor Carotid ultrasonography |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
