维持性血液透析患者左心室肥厚的危险因素

目的 探讨影响血液透析患者左心室肥厚进展的危险因素。方法 回顾性分析32例慢性肾功能衰竭维持性血液透析患者1年前、后的彩色多普勒超声心动图及其血压、体重、水肿和透析等临床情况，血肌酐（Cr）、尿素氮（BUN）、血红蛋白（Hb）、血清白蛋白（Alb）水平。结果 经过1年的维持性血液透析治疗，左心室肥厚的发生率从62．5％升高到81．3％，左心室肥厚的新出现和加重与血压、干体重控制不良、贫血、低白蛋白血症以及透析不充分有关。结论 控制血压、充分透析、纠正贫血及改善营养状况可延缓左心室肥厚的进展。

The Risk Factors of Left Ventricular Hypertrophy in Hemodialysis Patients

Objective To review the risk factors of left ventricular hypertrophy (LVH) in hemodialysis patients with chronic renal failure (CRF).Methods 32 hemodialysis patients with CRF were investigated.We retrospectively studied their echocardiography before and after one-year hemodialysis and blood pressure,net body weight controlling,hemoglobin,serum albumin,dialysis time per week of the corresponding period.Results The clinical incidence of LVH in our patients was from 62.5% to 81.3% after one-year hemodialysis.LVH was related with blood pressure,hemoglobin,serum albumin and dialysis time per week.Conclusion Blood pressure controlling,anemia and malnutrition improving and sufficient dialysis can alleviate progress of LVH.