不同透析方式对糖尿病肾病患者的心脏结构和功能的影响分析  

Analysis on effects of different dialysis methods on cardic structure and function among DN patients

作　　者：肖剑 潘春勤[2] 

机构地区：[1]重庆市璧山县人民医院肾内科,重庆402760 [2]仙桃市第一人民医院肾病科,湖北仙桃433000

出　　处：《海南医学院学报》2013年第6期766-768,共3页Journal of Hainan Medical University

基　　金：中国高校医学期刊临床专项资金项目(112210653)~~

摘　　要：目的:探讨糖尿病肾病(DN)患者采用不同透析方式对其心脏结构和功能的影响。方法:选取在本中心进行血透治疗的糖尿病肾病患者74例,依据透析方法不同分为观察组与对照组,观察组患者采用腹膜透析(PD)治疗,对照组采用血液透析(HD)治疗,定期对两组患者行超声心动图检查,同时测定两组患者血压、血容量及生化指标。结果:观察组血白蛋白、收缩压、超滤量明显低于对照组(P<0.05);观察组左室质量指数(LVMI)和左室肥厚(LVH)的发生率显著低于对照组(P<0.05),两组左室射血分数和E/A对比无统计学意义(P>0.05)。结论:观察组患者较对照组LVMI、LVH发生率低,表明PD可作为DN患者较理想的透析方式。Objective： To discuss effects of different dialysis methods on cardic structure and function among diabetic nephropathy（DN） patients.Methods： A total of 74 DN patients admitted into our center for dialysis were enrolled and divided into observation group and control group according to dialysis method： patients in observation group received peritoneal dialysis（PD） while those in control group adopted hemodialysis（HD）.Ultrasonic cardiogram was performed,blood pressure,blood volume and biochemical indicators in two groups were measured regularly.Results： Blood albuminin,systolic pressure and ultrafiltration volume in observation group were significantly lower than those in control group（P0.05）.Left ventricular mass index（LVMI） and incidence rate of left ventricular hypertrophy（LVH） in observation group were significantly lower than that in control group（P0.05）.No significant differences were found between two groups in left ventricular ejection fraction or E/A（P0.05）.Conclusion： Observation group had lower incidence rates of LVMI and LVH than control group,indicating that PD could be adopted as an ideal dialysis method for DN patients.

关 键 词：糖尿病肾病 腹膜透析 血液透析 左室肥厚 

分 类 号：R587.1[医药卫生—内分泌]