[1]邓兆燕,何媛梅,邓斯茜,等.红细胞分布宽度与维持性血液透析患者心胸比率的相关性研究[J].医学信息,2024,37(13):118-121.[doi:10.3969/j.issn.1006-1959.2024.13.024]
　Study on the Correlation Between Red Blood Cell Distribution Width and Cardiothoracic Ratio in Maintenance Hemodialysis Patients.Study on the Correlation Between Red Blood Cell Distribution Width and Cardiothoracic Ratio in Maintenance Hemodialysis Patients[J].Journal of Medical Information,2024,37(13):118-121.[doi:10.3969/j.issn.1006-1959.2024.13.024]
点击复制

红细胞分布宽度与维持性血液透析患者心胸比率的相关性研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
118-121
栏目:
论著
出版日期:
2024-07-01

文章信息/Info

Title:
Study on the Correlation Between Red Blood Cell Distribution Width and Cardiothoracic Ratio in Maintenance Hemodialysis Patients
文章编号:
1006-1959（2024）13-0118-04
作者:
邓兆燕; 何媛梅; 邓斯茜; 等
（玉林市第一人民医院肾内科，广西 玉林 537000）
Author(s):
Study on the Correlation Between Red Blood Cell Distribution Width and Cardiothoracic Ratio in Maintenance Hemodialysis Patients
(Department of Renal Medicine,the First People’s Hospital of Yulin City,Yulin 537000,Guangxi,China)
关键词:
红细胞分布宽度; 血液透析; 心胸比率
Keywords:
Red cell distribution width; Hemodialysis; Cardiotoracic ratio
分类号:
R692.5
DOI:
10.3969/j.issn.1006-1959.2024.13.024
文献标志码:
A
摘要:
目的 探讨红细胞分布宽度（RDW）与维持性血液透析（MHD）患者心胸比率（CTR）的相关性。方法 选取2022年6月-2023年6月玉林市第一人民医院收治的106例MHD患者为研究对象，根据心胸比率（CTR）结果分为心胸比率增大组76例（CTR≥0.5）与对照组30例（CTR＜0.5）。比较两组患者的一般资料与实验室检查结果，采用单因素与多因素Logistic回归模型分析CTR增大的相关因素，分析RDW对MHD患者CTR增大的预测价值。结果 心胸比率增大组RDW高于对照组，转铁蛋白饱和度低于对照组，差异有统计学意义（P＜0.05）；单因素分析显示，年龄、RDW、红细胞压积、血清白蛋白与CTR增大相关（P＜0.05）；多因素Logistic回归模型分析显示，年龄（OR=1.038，95%CI：1.001~1.076，P=0.046）、RDW（OR=1.457，95%CI：1.081~1.964，P=0.013）是CTR增大的独立危险因素。结论 RDW是MHD患者CTR增大的独立危险因素，或可作为预测MHD患者CTR增大的可重复性和易于评估的指标。
Abstract:
Objective To investigate the correlation between red blood cell distribution width (RDW) and cardiothoracic ratio (CTR) in maintenance hemodialysis (MHD) patients.Methods A total of 106 MHD patients admitted to the First People’s Hospital of Yulin City from June 2022 to June 2023 were selected as the research objects. According to the results of cardiothoracic ratio (CTR), they were divided into cardiothoracic ratio increase group (76 patients, CTR≥0.5) and control group (30 patients, CTR<0.5). The general data and laboratory examination results of the two groups were compared. Univariate and multivariate Logistic regression models were used to analyze the related factors of increased CTR, and the predictive value of RDW for increased CTR in MHD patients was analyzed.Results The RDW of the cardiothoracic ratio increased group was higher than that of the control group, and the transferrin saturation was lower than that of the control group, the difference was statistically significant (P<0.05); univariate analysis showed that age, RDW, hematocrit, and serum albumin were associated with increased CTR (P<0.05). Multivariate Logistic regression analysis showed that age (OR=1.038,95%CI:1.001-1.076,P=0.046) and RDW (OR=1.457,95%CI:1.081-1.964,P=0.013) were independent risk factors for increased CTR.Conclusion RDW is an independent risk factor for increased CTR in MHD patients, and may be used as a repeatable and easy-to-assess indicator for predicting increased CTR in MHD patients.

参考文献/References:

[1]Wang L,Xu X,Zhang M,et al.Prevalence of Chronic Kidney Disease in China: Results From the Sixth China Chronic Disease and Risk Factor Surveillance[J].JAMA Intern Med,2023,183(4):298-310.[2]Lai S,Molfino A,Russo GE,et al.Cardiac, Inflammatory and Metabolic Parameters: Hemodialysis versus Peritoneal Dialysis[J].Cardiorenal Med,2015,5(1):20-30.[3]Aghsaeifard Z,Zendehdel A,Alizadeh R,et al.Chronic hemodialysis: Evaluation of dialysis adequacy and mortality[J].Ann Med Surg (Lond),2022,76:103541.[4]Giamouzis G,Sui X,Love TE,et al.A propensity-matched study of the association of cardiothoracic ratio with morbidity and mortality in chronic heart failure[J].Am J Cardiol,2008,101(3):343-347.[5]Yilmaz F,Sozel H.Red blood cell distribution width is a predictor of chronic kidney disease progression and all-cause mortality[J].Bratisl Lek Listy,2021,122(1):49-55.[6]Kim DW,Lee M,Lee KJ,et al.The combined clinical impact of red blood cell distribution width and vascular calcification on cardiovascular events and mortality in patients with endstage kidney disease[J].Kidney Res Clin Pract,2022,41(3):351-362.[7]Chi G,Lee JJ,Montazerin SM,et al.Prognostic value of hemoglobin-to-red cell distribution width ratio in cancer:a systematic review and meta-analysis[J].Biomark Med,2022,16(6):473-482.[8]Danzer CS.The cardio-thoracic ratio:An index of cardiac enlargement[J].American Journal of the Medical Sciences,1919,157(4):513-554.[9]Truszkiewicz K,Macek P,Por?誰ba M,et al.Radiological Cardiothoracic Ratio as a Potential Marker of Left Ventricular Hypertrophy Assessed by Echocardiography[J].Radiol Res Pract,2022,2022:4931945. [10]Elasan S,Yilmaz O.Cardiothoracic ratio and left ventricular ejection fraction relationship: A meta-analysis study[J].Saudi Med J,2023,44(6):529-536.[11]Chou CY,Wang CCN,Chiang HY,et al.Cardiothoracic ratio values and trajectories are associated with risk of requiring dialysis and mortality in chronic kidney disease[J].Commun Med (Lond),2023,3(1):19.[12]Cozzolino M,Mangano M,Stucchi A,et al.Cardiovascular disease in dialysis patients[J].Nephrol Dial Transplant,2018,33(suppl_3):iii28-iii34.[13]Hiyamuta H,Yamada S,Taniguchi M,et al.Causes of death in patients undergoing maintenance hemodialysis in Japan: 10-year outcomes of the Q-Cohort Study[J].Clin Exp Nephrol,2021,25(10):1121-1130.[14]Salvagno GL,Sanchis-Gomar F,Picanza A,et al.Red blood cell distribution width: A simple parameter with multiple clinical applications[J].Crit Rev Clin Lab Sci,2015,52(2):86-105.[15]Xanthopoulos A,Giamouzis G,Dimos A,et al.Red Blood Cell Distribution Width in Heart Failure: Pathophysiology, Prognostic Role,Controversies and Dilemmas[J].J Clin Med,2022,11(7):1951.[16]曾颖,欧阳涵,姜山,等.红细胞分布宽度预测维持性血液透析患者预后的价值[J].中华肾脏病杂志,2019,35(4):259-267.[17]Fang S,Zhang Z,Wang Y,et al.Predictive value of left ventricular myocardial strain by four-dimensional speckle tracking echocardiography combined with red cell distribution width in heart failure with preserved ejection fraction[J].Echocardiography,2019,36(6):1074-1083.[18]张林,陈玥,张宝红.血小板-淋巴细胞比率、中性粒细胞-淋巴细胞比率及红细胞分布宽度在冠心病严重程度中的诊断价值[J].临床心血管病杂志,2020,36(9):824-827.[19]Brakohiapa EK,Botwe BO,Sarkodie BD.Gender and Age Differences in Cardiac Size Parameters of Ghanaian Adults: Can One Parameter Fit All? Part Two[J].Ethiop J Health Sci,2021,31(3):561-572.

相似文献/References:

[1]肖一红.组合型人工肾技术预防血液透析中低血压的效果观察[J].医学信息,2018,31(03):185.[doi:10.3969/j.issn.1006-1959.2018.03.070]
　XIAO Yi-hong.Effect of Combined Artificial Renal Technique in Preventing Hypotension in Hemodialysis[J].Journal of Medical Information,2018,31(13):185.[doi:10.3969/j.issn.1006-1959.2018.03.070]
[2]王 坤,张永春.血清胆红素水平、单核细胞数、红细胞分布宽度与 冠状动脉病变程度的关系[J].医学信息,2018,31(08):53.[doi:10.3969/j.issn.1006-1959.2018.08.017]
　WANG Kun,ZHANG Yong-chun.Relationship between Serum Bilirubin Level,Monocyte Count,Red Blood Cell Distribution Width and Severity of Coronary Artery Disease[J].Journal of Medical Information,2018,31(13):53.[doi:10.3969/j.issn.1006-1959.2018.08.017]
[3]邹 鑫,刘秀娟,余燕燕.血液透析对MHD患者血清FGF-23水平与 钙磷代谢的影响[J].医学信息,2018,31(09):119.[doi:10.3969/j.issn.1006-1959.2018.09.036]
　ZOU Xin,LIU Xiu-juan,YU Yan-yan.Effect of Hemodialysis on Serum FGF-23 Level and Calcium and Phosphorus Metabolism in MHD Patients[J].Journal of Medical Information,2018,31(13):119.[doi:10.3969/j.issn.1006-1959.2018.09.036]
[4]车鹏博,阮继刚,郭 丹.红细胞分布宽度联合D-二聚体含量预测 急性胰腺炎严重程度的价值[J].医学信息,2018,31(12):73.[doi:10.3969/j.issn.1006-1959.2018.12.022]
　CHE Peng-bo,RUAN Ji-gang,GUO Dan.The Value of Red Blood Cell Distribution Width Combined with D-dimer Content in Predicting the Severity of Acute Pancreatitis[J].Journal of Medical Information,2018,31(13):73.[doi:10.3969/j.issn.1006-1959.2018.12.022]
[5]王允彦.西那卡塞对维持性血液透析继发性甲状旁腺功能亢进患者FGF-23的影响[J].医学信息,2018,31(13):88.[doi:10.3969/j.issn.1006-1959.2018.13.025]
　WANG Yun-yan.Effect of Cinacalcet on FGF-23 in Patients with Secondary Hyperparathyroidism during Maintenance Hemodialysis[J].Journal of Medical Information,2018,31(13):88.[doi:10.3969/j.issn.1006-1959.2018.13.025]
[6]刘 浩.冠心病冠脉病变严重程度与红细胞分布宽度及尿酸的相关性分析[J].医学信息,2018,31(19):93.[doi:10.3969/j.issn.1006-1959.2018.19.027]
　LIU Hao.Correlation Analysis of Severity of Coronary Artery Disease with Erythrocyte Distribution Width and Uric Acid in Patients with Coronary Heart Disease[J].Journal of Medical Information,2018,31(13):93.[doi:10.3969/j.issn.1006-1959.2018.19.027]
[7]蒋红利,刘 华,史珂慧,等.陕西省县级医院透析室建设项目培训效果评价[J].医学信息,2018,31(19):120.[doi:10.3969/j.issn.1006-1959.2018.19.036]
　JIANG Hong-li,LIU Hua,SHI Ke-hui,et al.Evaluation on Training Effect of Dialysis Room Construction Project in County Hospitals in Shaanxi Province[J].Journal of Medical Information,2018,31(13):120.[doi:10.3969/j.issn.1006-1959.2018.19.036]
[8]方海东,李 荣.血液透析滤过联合血液透析治疗慢性肾功能衰竭的效果观察[J].医学信息,2019,32(02):129.[doi:10.3969/j.issn.1006-1959.2019.02.037]
　FANG Hai-dong,LI Rong.Effect of Hemodiafiltration Combined with Hemodialysis on Chronic Renal Failure[J].Journal of Medical Information,2019,32(13):129.[doi:10.3969/j.issn.1006-1959.2019.02.037]
[9]张民霞.血液灌流联合血液透析治疗肾功能衰竭难治性高血压的效果[J].医学信息,2019,32(15):109.[doi:10.3969/j.issn.1006-1959.2019.15.035]
　ZHANG Min-xia.Effect of Hemoperfusion Combined with Hemodialysis on Refractory Hypertension with Renal Failure[J].Journal of Medical Information,2019,32(13):109.[doi:10.3969/j.issn.1006-1959.2019.15.035]
[10]谢 华,周毅峰,甘晓庆,等.血液透析专用中心静脉导管封管液的研究[J].医学信息,2019,32(18):48.[doi:10.3969/j.issn.1006-1959.2019.18.016]
　XIE Hua,ZHOU Yi-feng,GAN Xiao-qing,et al.Research on Central Venous Catheter Sealing Fluid for Hemodialysis[J].Journal of Medical Information,2019,32(13):48.[doi:10.3969/j.issn.1006-1959.2019.18.016]

更新日期/Last Update: 1900-01-01