Evaluation of carotid Doppler ultrasonography in degree and hemodynamics of atherosclerosis of chronic kidney disease

doi:10.3969/j.issn.1004-583X.2021.11.010

Abstract

Abstract:

Objective To analyze the evaluation of carotid doppler ultrasonography(CDU) in degree of atherosclerosis and hemodynamics of atherosclerosis in patients with chronic kidney disease(CKD).Methods Totally 80 CKD patients admitted to Department of Nephrology, the Second Affiliated Hospital of Shenyang Medical College from June 2020 to January 2021 were prospectively enrolled. The patients were classified into hemodialysis group (n=40), peritoneal dialysis group (n=40), 40 healthy subjects who underwent regular physical examinations during the same period randomly in control group. The key observation was carotid intima-media thickness(CIMT), left common carotid artery(LCCA), left internal carotid artery(LICA), right common carotid artery(RCCA), blood flow velocity(BFV) in right internal carotid artery(RICA), end diastolic velocity(EVD) between groups. Results CIMT in peritoneal dialysis group and hemodialysis group obviously increased in comparing with control group (P<0.05). LCCA, LICA, RCCA, BFV in RICA and EVD decreased notably in control group when compared with peritoneal dialysis group and hemodialysis group (P<0.05), which were significantly lower in hemodialysis group than in peritoneal dialysis group (P<0.05). Conclusion The dialysis type of CKD patients is closely related to atherosclerosis degree. CDU can quantitatively detect the hemodynamic indices, which has positive significance in preventing and treating atherosclerosis in CKD patients.

Key words: kidney diseases, ultrasonography, doppler, renal dialysis, hemodynamics

CLC Number:

R692.9

Wang Chao, Wan Duo, Li Sali, Wang Xi. Evaluation of carotid Doppler ultrasonography in degree and hemodynamics of atherosclerosis of chronic kidney disease[J]. Clinical Focus, 2021, 36(11): 1009-1012.

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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2021.11.010

https://huicui.hebmu.edu.cn/EN/Y2021/V36/I11/1009

Figures/Tables 3

References 14

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组别	例数	左侧颈总动脉	右侧颈总动脉
血液透析组	40	0.98±0.12^*	1.01±0.17^*
腹膜透析组	40	1.05±0.18^*	1.04±0.19^*
健康对照组	40	0.81±0.14	0.82±0.16
F值		12.486	18.852
P值		<0.01	<0.01

组别	例数	左侧颈总动脉	右侧颈总动脉
血液透析组	40	0.98±0.12^*	1.01±0.17^*
腹膜透析组	40	1.05±0.18^*	1.04±0.19^*
健康对照组	40	0.81±0.14	0.82±0.16
F值		12.486	18.852
P值		<0.01	<0.01

组别	例数	左侧颈总动脉	左侧颈内动脉	右侧颈总动脉	右侧颈内动脉
血液透析组	40	69.29±5.65^*#	67.11±5.52^*#	66.67±0.62^*#	67.76±4.52^*#
腹膜透析组	40	73.68±6.33^*	74.88±5.18^*	70.58±7.12^*	72.15±6.41^*
健康对照组	40	42.73±6.27	61.17±7.93	43.61±4.14	60.58±7.01
F值		302.344	47.196	202.454	36.995
P值		<0.01	<0.01	<0.01	<0.01

组别	例数	左侧颈总动脉	左侧颈内动脉	右侧颈总动脉	右侧颈内动脉
血液透析组	40	69.29±5.65^*#	67.11±5.52^*#	66.67±0.62^*#	67.76±4.52^*#
腹膜透析组	40	73.68±6.33^*	74.88±5.18^*	70.58±7.12^*	72.15±6.41^*
健康对照组	40	42.73±6.27	61.17±7.93	43.61±4.14	60.58±7.01
F值		302.344	47.196	202.454	36.995
P值		<0.01	<0.01	<0.01	<0.01

组别	例数	左侧颈总动脉	左侧颈内动脉	右侧颈总动脉	右侧颈内动脉
血液透析组	40	19.37±2.26^*#	30.58±3.34^*#	18.31±2.18^*#	30.32±2.76^*#
腹膜透析组	40	24.84±2.18^*	34.24±3.39^*	23.79±2.45^*	35.61±2.72^*
健康对照组	40	14.07±2.14	23.58±4.36	12.12±2.30	21.13±3.37
F值		241.009	84.514	254.954	244.274
P值		<0.01	<0.01	<0.01	<0.01