持续不卧床腹膜透析患者肺动脉高压与超敏C反应蛋白的相关性分析.pdfVIP

临床论著 Original Research 持续不卧床腹膜透析患者肺动脉高压与超敏 C 反应蛋白的相关性分析 .1...向阳 学雄根 李涌泉 .1...?百萦 郭宏春 暨南大学第二临床医学院，深圳市人民医院，广东深圳 518020 【才离妥 J 11 曲曲研究持续不卧床11#..膜透析 (CAPD) 患者中肺动脉高压的患病卒，并探讨其肺动脉高压勾起敬 C 反应 蛋白水乎的相关性。方峰回顾性分析在我院腹透门诊随诊的透析时间超过 6 个月的 CAPD 患者，排除有段性阻塞 性肺疾病，严重心脏瓣膜疾病、有肺检 2患病史、在室射血分数小于 50% 等的 CAPD 患者 96 例，分别记录患者年龄、 性别、体重、透析时间、血压，检测其超敏 C-lt应蛋白( HS-CRP) ，心脏彩超检测其肺动脉压值，按乎均收缩期 肺动脉压 35mmHg 为界.并将腹 i走患者肺动脉压水乎与 CRP 逃行相关分析.错.， 96 锣IJ CAPD 患者中肺动脉压高于 35mmHg 的共 21 1(1) (2 1. 9%). 高肺动脉瓜纽肺动脉J.3i~著高于成常肺动脉组 (43.0 士 9.13 vs 18.22 士 5. 24 , P 0.05 )，对 R旦进患者肺动脉压饿和 CRP 水平进行直线相关分析， Pearson 相关系数 r = O. 38 , P O. 036. 樵俗 CAPD 患者中肺动脉高压发生率较高，其持续慢性炎症状怠可能与其肺动脉压增高有关. 【关键词】持续不卧床底膜透析;肺动脉高压;超敏 C 反应蛋白 E 中因分类号】 R543.2 E 文献标识码] A doí: 10. 3969/ j. issn.l009-3257. 201 1. 02. 006 R剖 ationship between pulmonary hypertension and high唱ensitlvlty C reactive protein In perltoneal dialysis patients WANG Xiang-yang. L1 Xiong-gen. L1 Yong-quan.WANG U-y阳 .GUO Bao-chun. The 加ond CUnícal Medical CoUege 01 Jinan U时咄咄Y. Sllenzhen Peoples 11 四pi tal. Shenzhen 518020 [Abstract1 Objective To ínvestigate the relationsh?p between pulmonary hypertensíon and high-sensitivity C reactive protein (CRP) ín patients on continuous ambulatory peritoneal dialysis(CAPD).Method The study was performed ín 96 patients undergoíng CAPD more than 6 months. Patients that had chronic ot附tructive pulmonary disease , severe mitral or aortic valve disease , connetive tissure disease , history of pulmonary embolism , left ventricular ejecion fraction50% were excluded. The information of age , sex , height , weight , time on CAPD and sittíng blood pre:削 re was collected. CRP was m阻lred. All patients were examined using echocarruography. PAH was defined as systolic pulmonary