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下肢静脉曲张干预可降低静脉曲张患者的脑钠肽值。

Intervention for Varicose Veins of Lower Extremities Lowers the Brain Natriuretic Peptide Values in Varicose Vein Patients.

作者信息

Tamura Kiyoshi

机构信息

Department of Cardiovascular Surgery, Soka Municipal Hospital, Soka, Saitama, Japan.

出版信息

Ann Vasc Dis. 2017 Jun 25;10(2):115-118. doi: 10.3400/avd.oa.16-00102.

Abstract

: To evaluate the relationship between varicose veins and heart failure, both of which cause edema of lower extremities. : We enrolled 150 patients who underwent intervention for varicose veins of lower extremities between December 2012 and October 2015, and perioperative data were retrospectively investigated. : Of the 150 patients, 104 (69.3%) were females. The mean age was 66.8±10.6 years (27-85 years). Eighty (53.3%) patients had varicose veins in both legs. In all patients, the postoperative (brain natriuretic peptide (BNP) value was significantly lower than the preoperative BNP value (pre : post=39.3 : 30.5 pg/dl, P<0.0001). In patients with higher BNP values (>100 pg/dl), the postoperative BNP values were significantly lower than the preoperative BNP values (pre : post=192.7 : 166.1 pg/dl, P<0.0001). Body weights of the patients decreased differently between pre- and post-operation (pre : post=61.3 : 59.4 kg, P=0.0008). : Intervention for varicose veins of lower extremities might be considered clinically useful for the improvement of cardiac function.

摘要

为评估均会导致下肢水肿的静脉曲张与心力衰竭之间的关系。我们纳入了2012年12月至2015年10月期间接受下肢静脉曲张干预治疗的150例患者,并对围手术期数据进行了回顾性研究。150例患者中,104例(69.3%)为女性。平均年龄为66.8±10.6岁(27 - 85岁)。80例(53.3%)患者双下肢均有静脉曲张。所有患者术后脑钠肽(BNP)值均显著低于术前BNP值(术前:术后 = 39.3:30.5 pg/dl,P<0.0001)。BNP值较高(>100 pg/dl)的患者,术后BNP值也显著低于术前BNP值(术前:术后 = 192.7:166.1 pg/dl,P<0.0001)。患者术前和术后体重下降情况不同(术前:术后 = 61.3:59.4 kg,P = 0.0008)。下肢静脉曲张干预治疗在临床上可能对改善心功能有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b7a/5579778/2c1c2ce310be/avd-10-2-oa.16-00102-figure01.jpg

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