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生物电阻抗测量中的容积指数对血液透析患者超声心动图心功能指数评估的影响。

Impact of volume indices in bioelectrical impedance measurement on the assessment of cardiac function indices by echocardiography in hemodialysis patients.

机构信息

Department of Nephrology, The Affiliated Huaihai Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.

Department of Ultrasound, The Affiliated Huaihai Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.

出版信息

Ren Fail. 2024 Dec;46(2):2375103. doi: 10.1080/0886022X.2024.2375103. Epub 2024 Jul 8.

DOI:10.1080/0886022X.2024.2375103
PMID:38973376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11232648/
Abstract

INTRODUCTION

Cardiovascular events resulting from volume overload are a primary cause of mortality in hemodialysis patients. Bioelectrical impedance analysis (BIA) is significantly valuable for assessing the volume status of hemodialysis (HD) patients. In this article, we explore the correlation between the volume index measured by BIA and the cardiac function index assessed by echocardiography (ECG) in HD patients.

METHODS

Between April and November 2018, we conducted a cross-sectional study involving randomly selected 126 maintenance HD patients. Comprehensive data on medical history and laboratory test results were collected. Subsequently, we investigated the correlation between volume indices measured by BIA and cardiac function parameters by ECG.

RESULTS

We discovered a significant correlation between the volume indices measured by BIA and various parameter of cardiac function. The Left Ventricular Hypertrophy (LVH) group exhibited higher levels of the percentage of Extracellular Water (ECW%) and the percentage of Total Body Water (TBW%) compared to the Non-LVH group. Extracellular Water (ECW) and Third Interstitial Fluid Volume (TSFV) were identified as independent risk factors for Left Ventricular Mass (LVM), and both demonstrated a high predictive value for LVM. ECW% emerged as an independent risk factor for the Left Ventricular Mass Index (LVMI), with a high predictive value for LVMI.

CONCLUSION

ECW and TSFV were found to be positively associated with cardiac function parameters in HD patients.

摘要

简介

血容量过多导致的心血管事件是血液透析患者死亡的主要原因。生物电阻抗分析（BIA）对于评估血液透析（HD）患者的容量状态具有重要意义。本文探讨了 HD 患者 BIA 测量的容量指数与超声心动图（ECG）评估的心脏功能指数之间的相关性。

方法

2018 年 4 月至 11 月期间，我们进行了一项横断面研究，纳入了 126 名随机选择的维持性 HD 患者。收集了详细的病史和实验室检查结果数据。随后，我们调查了 BIA 测量的容量指数与 ECG 心脏功能参数之间的相关性。

结果

我们发现 BIA 测量的容量指数与各种心脏功能参数之间存在显著相关性。左心室肥厚（LVH）组的细胞外液百分比（ECW%）和总体水百分比（TBW%）高于非 LVH 组。细胞外液（ECW）和第三间质液容积（TSFV）被确定为左心室质量（LVM）的独立危险因素，两者对 LVM 均具有较高的预测价值。ECW%是左心室质量指数（LVMI）的独立危险因素，对 LVMI 具有较高的预测价值。

结论

ECW 和 TSFV 与 HD 患者的心脏功能参数呈正相关。

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