摘要
目的:考察急性心力衰竭(AHF)患者急性肾损伤(AKI)发生的危险因素。方法:回顾性分析438例AHF患者的临床资料并依据是否发生AKI分为AKI组和非AKI组(NAKI组)。采用单因素分析和多因素分析的方法确定导致AKI发生的危险因素。结果:单因素分析显示AKI组患者年龄、NYHA分级4级、收缩压、糖尿病、高血压、多脏器衰竭和血钠水平与NAKI组比较差异有统计学意义(P<0.05)。多因素分析显示高龄、高血钠、糖尿病和多脏器功能衰竭是导致AHF患者发生AKI的独立危险因素(P<0.05)。结论:导致AHF患者发生AKI的因素包括高龄、高血钠合并糖尿病和多脏器功能衰竭。积极控制血钠水平和糖尿病对于老年AHF患者尤其重要。
Objective：To investigate the risk factors of acute kidney injury（AKI）in patients with acute heart failure（AHF）.Method：The clinical data of 438 patients with AHF were retrospectively analyzed.The clinical data were divided into AKI group and NAKI group according to the occurrence of AKI.Single factor analysis and multivariate analysis were used to determine the risk factors of AKI.Result：Single factor analysis showed significant difference in age,NYHA grade 4,systolic blood pressure,diabetes,hypertension,diabetes,hypertension,multiple organ failure and serum sodium level in AKI group（P〈0.05）.Multivariate analysis showed that age,high blood sodium,diabetes and multiple organ failure were independent risk factors for AKI in patients with AHF（P〈0.05）.Conclusion：The factors that cause AKI in patients with AHF include advanced age,high serum sodium,combined with diabetes and multiple organ failure.It is particularly important to actively control the level of serum sodium and diabetes in the elderly patients with AHF.
出处
《临床急诊杂志》
CAS
2016年第3期186-188,共3页
Journal of Clinical Emergency
基金
深圳市龙岗区科技计划医疗卫生项目(No:201406063001024)
