Effects of Cardiac Function with Postoperative Arteriovenous Fistula Blood Flow in Patients with Hemodialysis
Effects of Cardiac Function with Postoperative Arteriovenous Fistula Blood Flow in Patients with Hemodialysis
复制标题
血液透析患者术后动静脉内瘘血流对心功能的影响
DOI：
10.1159/000458146
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Suzuki Y.
中科院分区：
文献类型：
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作者：
Wakabayashi K;Io H;Nakata J;Nakamoto H;Sato M;Sasaki Y;Shimizu Y;Horikoshi S;Tomino Y;Suzuki Y.
背景/AimsThis研究的目的是评估心脏功能与术后动静脉瘘（AVF）血液透析（HD）patients.MethodsA的血液透析患者的血流的影响，共45例在顺天堂大学医院进行了检查。超声检查AVF血流量，超声心动图检查心功能。结果术后天数与AVF血流量显著相关，与每搏输出量（SV）呈正相关。射血分数（EF）降低者术后AVF血流量低于射血分数正常者。BW变化率与SV呈负相关，与心输出量（CO）呈正相关，AVF血流量大于1,000 mL/min的患者，BW变化率与CO呈正相关。
Background/AimsThis study was aimed at evaluating the effect of cardiac function with postoperative arteriovenous fistula (AVF) blood flow in hemodialysis (HD) patients.MethodsA total of 45 HD patients were examined at the Juntendo University Hospital. The AVF blood flow was measured using ultrasonography, and the cardiac function was measured using echocardiography. Correlation between these parameters and the rate of change in body weight (BW) was analyzed.ResultsThe number of postoperative days significantly correlated with the AVF blood flow, and it positively correlated with the stroke volume (SV). The postoperative AVF blood flow in patients with reduced ejection fraction (EF) was lower than that in patients with normal EF. The rate of change of BW negatively correlated with that of SV, positively correlated with cardiac output (CO), and positively correlated with CO in patients with an AVF blood flow of more than 1,000 mL/min.ConclusionIt appears that the cardiac function can be improved by controlling the BW even in patients with high AVF blood flow.