儿童布鲁氏菌感染与主动脉僵硬之间的关系。

Northern clinics of Istanbul Pub Date : 2024-06-12 eCollection Date: 2024-01-01 DOI:10.14744/nci.2023.56198
Hatice Uygun, Celal Varan, Nurettin Erdem, Sibel Yavuz, Mehmet Turgut
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引用次数: 0

摘要

研究目的本研究旨在通过超声心动图这种无创方法,说明导致儿童各种心血管并发症的布鲁氏菌感染是否会导致主动脉僵硬度增加:方法:对确诊为布鲁氏菌感染的儿童进行心脏学评估和超声心动图检查,这些儿童在治疗期间出现心动过速、胸痛和杂音,且与体温升高无关。计算患者组和对照组患者的主动脉应变、主动脉舒张性测量结果和主动脉僵硬度指数:患者组 53 例,平均年龄(11.43±4.13)岁;对照组 68 例,平均年龄(10.16±3.61)岁。我们发现,患者组的收缩压低于对照组(P=0.014)。在实验室参数分析中,我们发现患者组的血糖水平明显高于对照组(P=0.001)。在对患者组和对照组的主动脉应变、主动脉僵硬度指数和主动脉舒张度测量结果进行统计评估时,未发现两组间存在统计学差异(P=0.287、P=0.784、P=0.208):在我们的研究中,我们试图显示一个可能导致主动脉僵硬度增加的新参数,结果显示布鲁氏菌感染并不是导致儿科年龄组主动脉僵硬度增加的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The relationship between Brucella infection and aortic stiffness in children.

Objective: In this study, it was aimed to show whether Brucella infection, which causes various cardiovascular complications in children, can lead to an increase in aortic stiffness with a noninvasive method, echocardiography.

Methods: Children who were diagnosed with Brucella infection and who had tachycardia, chest pain and murmur that were not related to body temperature increase during the treatment were evaluated cardiologically and had echocardiographic examination, were included in the study. Aortic strain, aortic distensibility measurement results and aortic stiffness index of the patients in the patient and control groups were calculated.

Results: Our study included 53 cases with a mean age of 11.43±4.13 years in the patient group and 68 cases with a mean age of 10.16±3.61 years in the control group. We found that systolic blood pressure was lower in the patient group than in the control group (p=0.014). In the analysis of laboratory parameters, blood glucose level was found to be significantly higher in the patient group (p=0.001). In the statistical evaluation of aortic strain, aortic stiffness index and aortic distensibility measurement results between the patient and control groups, no statistically significant difference was found between the groups (p=0.287, p=0.784, p=0.208).

Conclusion: In our study, where we tried to show a new parameter that could contribute to the increase in aortic stiffness, the results showed that Brucella infection was not a factor that increased aortic stiffness in the pediatric age group.

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