研究疾病:
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慢性心衰、2型心肾综合征
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研究疾病代码:
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Target disease:
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Chronic heart failure, type 2 heart and kidney syndrome
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Target disease code:
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研究类型:
Study type:
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基础科学研究
Basic Science
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研究设计:
Study design:
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析因分组(即根据危险因素或暴露因素分组)
Factorial
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研究所处阶段:
Study phase:
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其它
Others
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研究目的:
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1.建立宏观尿液表征、微观理化指标与慢性心衰、2型心肾综合征寒热证候的关系,阐明其尿液寒、热证候的生物学基础。
2.提出适宜尿液图像处理与心衰、2型心肾综合征尿诊定性、定量诊断的人工智能技术,建立客观化的尿液辅助诊断新方法并加以验证,形成完整研究范式,为尿诊客观化后续研究提供基础。
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Objectives of Study:
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1.Establish the relationship between macroscopic urine characterization, microphysical and chemical indicators, and cold-hot syndromes of chronic heart failure and type 2 cardiorenal syndrome, and clarify the biological basis of their urine cold-hot syndromes.
2.Propose artificial intelligence technology suitable for urine image processing and qualitative and quantitative urine diagnosis of heart failure,type 2 heart and kidney syndrome.Establish objective new method of urine-assisted diagnosis and verify it,form a complete research paradigm and provide a basis for follow-up studies of urology objective.
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药物成份或治疗方案详述:
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Description for medicine or protocol of treatment in detail:
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纳入标准:
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慢性心衰病例入选标准:
①符合慢性心衰诊断,目前处于慢性心衰 B、C、D期,且无肾功能损伤;
②心功能NYHA分级 I~IV 级;
③年龄 50-70 岁;
④签署知情同意书。
2型心肾综合征病例入选标准:
①符合2型心肾综合征诊断,CKD 处于 1~4期;
②心功能NYHA分级I~IV级;
③年龄50-70岁;
④签署知情同意书。
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Inclusion criteria
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Selection criteria for chronic heart failure cases:
1. It is consistent with the diagnosis of chronic heart failure, and is currently in the stages of chronic heart failure B, C, D, and there is no renal impairment;
2. NYHA grade I ~ IV for cardiac function;
3. Aged 50-70 years old;
4. Sign informed consent.
Selection criteria for type 2 heart and kidney syndrome cases:
1. Meet the diagnosis of type 2 heart and kidney syndrome, CKD is in stage 1 ~ 4;
2. NYHA grade I ~ IV for cardiac function;
3. Aged 50-70 years old;
4. Sign informed consent.
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排除标准:
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①合并严重瓣膜疾病、心包疾病、先天性心脏病、不稳定心绞痛、急性心肌梗死(4 周内)、严重心律失常伴有血流动力学改变或近4周接受过冠脉血运重建者;
②合并慢阻肺、肺心病、急慢性肺栓塞引起的肺动脉高压、近半年内脑卒中者;
③ 合并严重的肝功能不全(肝功能指标值>正常值2倍)、CKD5期(GFR<15ml/min·1.73m2)、严重的电解质紊乱(如血钾>5.5mmol/L)、恶性肿瘤、糖尿病合并严重并发症、甲亢、甲减等严重内分泌疾病或其他无法控制的全身性疾病;
④妊娠或准备妊娠及哺乳期妇女;精神病、传染病患者;急慢性泌尿系感染;
⑤ 近1个月内参加其他研究者;
⑥ 根据研究者判断,患者不能完成本研究或不能遵守本研究的要求(由于管理或其他方面的原因)。
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Exclusion criteria:
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1. Patients with severe valvular disease, pericardial disease, congenital heart disease, unstable angina pectoris, acute myocardial infarction (within 4 weeks), severe arrhythmia accompanied by hemodynamic changes or who have received coronary revascularization in the past 4 weeks;
2. Complicated with chronic obstructive pulmonary disease, pulmonary heart disease, pulmonary hypertension caused by acute and chronic pulmonary embolism, and stroke within the past six months;
3. Complicated with severe liver dysfunction (liver function index value> 2 times normal value), CKD5 stage (GFR <15ml / min · 1.73m2), severe electrolyte disturbance (such as serum potassium> 5.5mmol / L), malignant tumor, Diabetes with severe complications, hyperthyroidism, hypothyroidism and other serious endocrine diseases or other uncontrollable systemic diseases;
4. Pregnant or lactating women; patients with mental and infectious diseases; acute and chronic urinary tract infections;
5. Participants in other researchers within the past month;
6. At the discretion of the investigator, the patient could not complete the study or did not comply with the requirements of the study (due to management or other reasons).
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研究实施时间:
Study execute time:
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从From
2020-01-01
至To
2023-12-31
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征募观察对象时间:
Recruiting time:
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从From
2020-01-01
至To
2023-12-31
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