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| 经皮冠状动脉介入治疗术后对比剂肾病发病率及危险因素分析 | |
| 引用本文： | 杨世诚,陈永利,刘园园,张莹莹,刘晓罡,付乃宽. 经皮冠状动脉介入治疗术后对比剂肾病发病率及危险因素分析[J]. 天津医药, 2011, 39(10): 903-906. DOI: 10.3969/j.issn.0253-9896.2011.10.008 |
| 作者姓名： | 杨世诚 陈永利 刘园园 张莹莹 刘晓罡 付乃宽 |
| 作者单位： | 1. 300070,天津医科大学 2. 300070,天津市胸科医院心内一科 |
| 基金项目： | 天津市卫生局级科技基金攻关课题(项目编号:10KG122) |
| 摘 要： | 目的:探讨经皮冠状动脉介入治疗(PCI)术后对比剂肾病(CIN)发病率及危险因素。方法:回顾性分析2008年1月—2010年12月行PCI术患者共1010例,根据CIN诊断标准将其分为CIN组171例(16.9%)和非CIN组839例,比较2组相关因素的差异,应用Logistic回归分析CIN危险因素。结果:2组年龄、血糖、血红蛋白、红细胞、红细胞比容、三酰甘油、胆固醇、高密度脂蛋白、低密度脂蛋白、收缩压、左室射血分数(LVEF)、白蛋白、肌酐清除率(Ccr)、榕血Ccr、对比剂用量差异有统计学意义(P<0.05或P<0.01)。Logistic回归分析显示,年龄≥70岁、心肌梗死、急诊PCI、糖尿病、低血压、贫血、Ccr≤60mL/min、对比剂用量>200mL、LVEF≤0.45是发生CIN的危险因素。结论:CIN是PCI术后常见并发症,对具备CIN危险因素的高危患者应引起临床上高度重视。 |
| 关 键 词： | 血管成形术,经腔,经皮冠状动脉 肾病 危险因素 发病率 Logistic模型 造影剂 |
The Incidence and Risk Factors for Contrast Induced Nephropathy after Percutaneous Coronary Intervention |
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| YANG Shicheng,CHEN Yongli,LIU Yuanyuan,ZHANG Yingying,LIU Xiaogang,FU Naikuan. The Incidence and Risk Factors for Contrast Induced Nephropathy after Percutaneous Coronary Intervention[J]. Tianjin Medical Journal, 2011, 39(10): 903-906. DOI: 10.3969/j.issn.0253-9896.2011.10.008 | |
| Authors: | YANG Shicheng CHEN Yongli LIU Yuanyuan ZHANG Yingying LIU Xiaogang FU Naikuan |
| Affiliation: | YANG Shicheng,CHEN Yongli,LIU Yuanyuan,ZHANG Yingying,LIU Xiaogang,FU Naikuan Graduate School of Tianjin Medical University,Tianjin 300070,China |
| Abstract: | Objective: To investigate the incidence and risk factors for contrast induced nephropathy (CIN) after percutaneous coronary intervention (PCI). Methods: A retrospective study was performed on 1 010 patients who had undergone PCI from January 2008 to December 2010. According to the diagnostic criteria for CIN,the patients were divided into CIN group and non-CIN group. The related factors were compared between the two groups. Logistic regression analysis was applied to determine the risk factors for CIN. Resu... |
| Keywords: | angioplasty transluminal percutaneous coronary nephrosis risk factors incidence Logistic models contrast media |
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