C反应蛋白与白蛋白比值可预测急性肾损伤患者的不良预后被引量：11

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摘要评价C反应蛋白(CRP)与血清白蛋白(Alb)比值在急性肾损伤(AKI)患者不良预后中的预测价值。方法:入选2013-2014年我科AKI患者348例,分为治愈好转组(320例)及死亡组(28例),分析CRP与Alb比值应用于预测AKI患者不良预后的价值。结果 :死亡组与治愈好转组相比,CRP[(42.3±18.1)mg/L vs.(37.2±9.3)mg/L,P=0.012]、CRP/Alb(15.8±5.3 vs.11.7±3.1,P<0.001)明显升高,差异有统计学意义。死亡组与治愈好转组相比,Alb[(29.7±3.9)g/L vs.(30.9±2.0)g/L,P=0.007]、血红蛋白[(113.4±10.5)g/L vs.(116.2±6.2)g/L,P=0.033]水平较低,差异有统计学意义。行多因素回归分析提示:CRP/Alb为预测AKI患者不良预后的独立危险因素。结论:CRP/Alb为AKI患者不良预后的独立危险因素。CRP/Alb对AKI患者的预后价值高于单独使用CRP或Alb。

作者冉燕达静静胡英何平红査艳

机构地区贵州省人民医院肾内科

出处《实用医学杂志》 CAS 北大核心 2015年第23期3895-3897,共3页 The Journal of Practical Medicine

关键词急性肾损伤独立危险因素预后 C反应蛋白白蛋白

分类号 R692 [医药卫生—泌尿科学]

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参考文献12

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