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三级护理医院中肝硬化患者的超声心动图异常及其与使用Child-Pugh评分的肝硬化严重程度的相关性。

Echocardiographic abnormalities in cirrhosis & their correlation with severity of cirrhosis using Child-Pugh score among patients in a tertiary care hospital.

作者信息

Balde Jagruti, Rao N Karthik, Ballala Kirthinath, Samanth Jyothi, Shetty K Ranjan, Patil Navin, Avinash A, Varghese George

机构信息

Department of Medicine, Kasturba Medical College, Manipal, India.

Department of Community Medicine, Kasturba Medical College, Manipal, India.

出版信息

Indian J Med Res. 2016 Dec;144(6):935-937. doi: 10.4103/ijmr.IJMR_1486_15.

Abstract

BACKGROUND & OBJECTIVES: Child-Pugh score (CPS) is a widely used prognostic marker in cases of cirrhosis and pulmonary arterial hypertension (PAH). However, the role of this score in the quantification of severity of PAH is not well studied. In mild cases, echocardiography is more sensitive. This study was done to assess the association between echocardiography and severity of cirrhosis using CPS.

METHODS

A cross-sectional study was done from April to June 2014 in 42 patients with cirrhosis using a pre-tested semi-structured interview schedule.

RESULTS

There was no significant association between echocardiographic changes and CPS in patients with liver cirrhosis.

INTERPRETATION & CONCLUSIONS: Advising an echocardiographic evaluation may prove beneficial in patients of Child-Pugh Grades B and C. However, more extensive studies are required to confirm the same.

摘要

背景与目的

Child-Pugh评分(CPS)是肝硬化和肺动脉高压(PAH)病例中广泛使用的预后指标。然而,该评分在量化PAH严重程度方面的作用尚未得到充分研究。在轻度病例中,超声心动图更敏感。本研究旨在评估使用CPS的超声心动图与肝硬化严重程度之间的关联。

方法

2014年4月至6月,对42例肝硬化患者进行了一项横断面研究,采用预先测试的半结构化访谈表。

结果

肝硬化患者的超声心动图变化与CPS之间无显著关联。

解读与结论

对Child-Pugh B级和C级患者进行超声心动图评估可能有益。然而,需要更广泛的研究来证实这一点。

相似文献

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本文引用的文献

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Pulmonary arteriovenous malformation in cryptogenic liver cirrhosis.
J Coll Physicians Surg Pak. 2013 Sep;23(9):676-8.
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Evaluation of cardiac function in patients with liver cirrhosis.肝硬化患者心脏功能的评估
Intern Med. 2010;49(23):2547-52. doi: 10.2169/internalmedicine.49.3520. Epub 2010 Dec 1.
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Management of hepatocellular carcinoma.肝细胞癌的管理
Hepatology. 2005 Nov;42(5):1208-36. doi: 10.1002/hep.20933.

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