水肿程度在CAPD患者居家容量超负荷及心功能评估中的价值  

Significance of edema classification in estimating volume overload and cardiac function of patients undergoing continuous ambulatory peritoneal dialysis

作　　者：李琳[1] 汪小华[1] 许义[1] 庞建红[1] 卢国元[1] 

机构地区：[1]苏州大学附属第一医院肾内科腹膜透析中心,江苏省215006

出　　处：《江苏医药》2014年第16期1918-1920,共3页Jiangsu Medical Journal

基　　金：苏州市科技计划项目(SYS201310)

摘　　要：目的探讨水肿程度在持续非卧床腹膜透析(CAPD)患者居家评估容量超负荷及心功能中的价值。方法收集CAPD患者水肿程度、人体成分分析、心脏超声、脑钠肽(BNP)及BP等资料。分析水肿程度与容量负荷各指标的相关性。结果 CAPD患者的水肿程度与ECW/h、LAD、ECW、E/I、E/T、TBW、ICW和LVEDD均呈正相关(P<0.01或P<0.05)。回归分析显示,水肿程度是影响BNP(OR=2.810,95%CI=1.218-6.482,P<0.05)和SBP(OR=2.144,95%CI=1.073-4.286,P<0.05)的独立危险因素。结论水肿程度在CAPD患者居家评估容量超负荷及心功能中有一定临床价值。Objective To investigate the value of edema classification in estimating the volume overload and cardiac function of patients with continuous ambulatory peritoneal dialysis（CAPD）.Methods Data of edema classification,body composition monitor（BCM）analysis,echocardiography,brain natriuretic peptide（BNP）and blood pressure（BP）were collected.The relationship between edema classification and intracellular water（ICW）,extracelluar water（ECW）,extracelluar water/height（ECW/h）,extracelluar water/intracellular water（E/I）,extracelluar water/total body water（E/T）,total body water（TBW）,left arterial diameter（LAD）and left ventricular end-diastolic dimension（LVEDD）was analyzed.Results Edema degrees were positively correlated with ECW/h,LAD,ECW,E/I,E/T,TBW,ICW and LVEDD（P〈0.01 or P〈0.05）.Logistic regression analysis showed that edema classification was an independent factor affecting BNP（OR=2.810,95%CI=1.218-6.482,P〈0.05）and SBP（OR=2.144,95%CI=1.073-4.286,P〈0.05）.Conclusion Edema classification has a certain clinical value in evaluating the volume overlaod and cardiac function of patients with CAPD.

关 键 词：持续非卧床腹膜透析 水肿 容量超负荷 心功能 

分 类 号：R459[医药卫生—治疗学]