心功能衰竭患者血乳酸浓度与预后的相关性分析  

Correlation of plasma level of lactic acid and the prognosis in the patients with heart failure

作　　者：丁海菊[1] 刘雪梅[1] 魏萍[1] 

机构地区：[1]石景山医院,北京100043

出　　处：《海南医学院学报》2011年第2期206-207,共2页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020110037)~~

摘　　要：目的：评估心功能衰竭患者血乳酸（LAC）浓度与预后的关系。方法：回顾性分析2010年6月2010年9月入住我科的50例心功能衰竭患者的血LAC浓度,将患者分为好转组32例和恶化组18例。再根据血LAC浓度分为血LAC正常组32例,血LAC升高组18例。结果：恶化组的血LAC浓度明显高于好转组,差异有统计学意义（P〈0.01）;血LAC浓度升高组的恶化率明显高于血LAC浓度正常组,差异有统计学意义（P〈0.01）。结论：心功能衰竭患者血LAC浓度与病情危重程度相关,血LAC浓度测定是判断心功能衰竭患者预后的一个良好指标。Objective： To evaluate the relationship between plasma level of lactic acid and prognosis in patients with heart failure.Methods： Clinical data of 50 patients with heart failure admitted to Respiratory Department from June 2010 to September 2010 were analyzed retrospectively.They were divided into improved group（32 cases） and worsen group（18 cases）.While they were also assigned to normal group（32 cases） and high-LAC level group（18 cases） based on the LAC level.Results： The improved patients showed higher blood lactate level than the worsen group. And the aggravation rate of patients with higher blood lactate level was higher. Oonclusions. The lactate level in the patients with heart failure is correlated with the severity of pathogenetic condition, and it is a useful index for the prognosis evaluation.

关 键 词：心功能衰竭 乳酸 预后 

分 类 号：R541.4[医药卫生—心血管疾病]