连续性床旁血滤对心肾综合征患者肾脏弹性和肾血流谱的影响  

Effects of Continuous bedside Hemofiltration on Kidney Elasticity and Renal Blood Flow Spectrum in Patients with Cardiorenal Syndrome

作　　者：薛乾隆[1] 杨李鹏[1] 王慧[1] 王佳[1] 贺英[2] XUE Qianlong;YANG Lipeng;WANG Hui;WANG Jia;HE Ying(Department of Emergency,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei,P.R.China;Department of Gynecology,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei,P.R.China)

机构地区：[1]河北北方学院附属第一医院急诊科,河北张家口075000 [2]河北北方学院附属第一医院妇科,河北张家口075000

出　　处：《影像科学与光化学》2022年第5期1179-1183,共5页Imaging Science and Photochemistry

基　　金：张家口市市级科技计划(1821061D)。

摘　　要：本研究观察了连续性床旁血滤对心肾综合征患者肾脏弹性、肾血流谱及左室心肌功能的影响。选取104例心肾综合征患者作为研究对象,采用简单随机法分为两组。对照组给予基础治疗,观察组在对照组基础上给予连续性床旁血滤治疗。采用肾脏三维超声检测肾脏中部皮质杨氏模量值(YM)、双侧肾动脉血流动力学参数,应用三维斑点追踪超声心动图(3D-STE)检查左室心肌功能参数的变化。研究结果发现,治疗后两组YM、肾脏血流动力学参数的阻力指数(RI)均低于治疗前,双侧肾动脉内径(D)、肾血流量(V)及超声心动图除整体面积应变外的其他数据均高于治疗前,且观察组YM、肾脏血流动力学参数的数据明显优于对照组(P<0.05)。说明连续性床旁血滤可改善心肾综合征患者肾脏弹性和肾血流谱,但对左室心肌功能影响较小。This study observed the effects of continuous bedside hemofiltration on kidney elasticity, renal blood flow spectrum and left ventricular myocardial function in patients with cardiorenal syndrome. Selected 104 patients with cardiorenal syndrome as the research objects, and divided them into two groups by simple random method. The control group was given basic treatment, and the observation group was given continuous bedside hemofiltration treatment on the basis of the control group. Three-dimensional ultrasonography of the kidney was used to detect the Young’s modulus(YM) of the middle renal cortex, and the hemodynamics of bilateral renal arteries parameters, and using three-dimensional speckle tracking technology(3 D-STE) to examine the changes of left ventricular myocardial function parameters. The results showed that the YM, resistance index(RI) data of renal hemodynamic parameters in the two groups after treatment were lower than those before treatment. The bilateral renal artery diameter(D),renal blood flow (V)and echocardiography data except for the overall area strain were higher than those before treatment,and the data of YM and renal hemodynamic parameters in the observation group were significantly better than those in the control group(P<0.05).It shows that continuous bedside hemofiltration can improve kidney elasticity and renal blood flow spectrum in patients with cardiorenal syndrome,but has little effect on left ventricular myocardial function.

关 键 词：连续性床旁血滤 心肾综合征 肾脏弹性 肾血流谱 左室心肌功能 

分 类 号：R541[医药卫生—心血管疾病] R692[医药卫生—内科学]