肾功能测定在扩张型心肌病患者中的临床价值  

Clinical study on application of renal function detection in patients with dilated cardiomyopathy

作　　者：陈礼学[1] 吴安爽[2] 

机构地区：[1]天门市第一人民医院ICU,湖北天门431700 [2]天门市第一人民医院心血管内科,湖北天门431700

出　　处：《临床和实验医学杂志》2011年第24期1902-1903,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨肾功能水平测定在扩张型心肌病(DCM)患者中的临床应用价值。方法测定并记录52例DCM患者入院后首次肾功能水平,观察肾功能水平与DCM心功能NYHA分级之间的关系。结果 NYHAⅣ级组SCr指标、合并肾功能不全的比率高于NYHAⅠ、Ⅱ、Ⅲ级组(P<0.05),而Ⅱ、Ⅲ组之间无明显差异(P>0.05)。结论扩张型心肌病心衰患者较心功能正常者更易合并有肾功能异常,心功能越差,肾功能损伤的几率也越大,Scr可评价扩张型心肌病疾病严重程度的临床指标。Objective To study the clinical significance of renal function detection in patients with dilated cardiomyopathy（DCM）.Methods Renal function tests were carried out in 52 patients with DCM after admission,and the relationship between renal function level and NYHA cardiac function classification had been observed.Results Scr in patients with NYHA Ⅳ was more likely to be renal dysfunction than patients with NYHA Ⅰ,Ⅱ,Ⅲ（P0.05）.There was no significant difference between NYHA Ⅱand Ⅲ（P0.05）.Conclusion There are more cases with renal dysfunction in DCM-HF than those with normal cardiac function.The exacerbated heart failure can lead to unfavorable change in renal function.Scr has special prognostic value in aggravation of symptoms in patients with heart failure.

关 键 词：扩张型心肌病 肾功能 心力衰竭 

分 类 号：R542.2[医药卫生—心血管疾病]