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冠心病患者肾动脉狭窄危险因素临床研究
引用本文:刘易新,付研. 冠心病患者肾动脉狭窄危险因素临床研究[J]. 医学研究杂志, 2008, 37(2): 72-74
作者姓名:刘易新  付研
作者单位:1. 首都医科大学附属北京天坛医院,100050
2. 首都医科大学附属北京同仁医院,100730
摘    要:目的 对冠心病患者动脉粥样硬化性肾动脉狭窄的发病率和危险因素进行探讨.方法 247例冠状动脉造影诊断为冠心病的患者同时进行选择性或非选择性肾动脉造影.结果 冠心病患者肾动脉狭窄的发生率为20%.多因素Logistic回归分析中,年龄、外周血管疾病和冠心病多支病变为肾动脉狭窄的独立危险因素.结论 对冠心病患者,尤其是多支病变、高龄、合并外周血管疾病的冠心病患者应常规行选择性肾动脉造影.

关 键 词:冠状动脉疾病  肾动脉狭窄  危险因素  冠心病患者  粥样硬化性肾动脉狭窄  独立危险因素  临床研究  Coronary Heart Disease  Renal Artery Stenosis  Atherosclerotic  Risk Factors  高龄  外周血管疾病  年龄  回归分析  Logistic  发生率  结果  选择性肾动脉造影  或非  造影诊断  冠状动脉  方法
收稿时间:2007-12-05
修稿时间:2007-12-05

The Clinical Research of Risk Factors of Atherosclerotic Renal Artery Stenosis in Coronary Heart Disease
Liu Yixin,Fu Yan. The Clinical Research of Risk Factors of Atherosclerotic Renal Artery Stenosis in Coronary Heart Disease[J]. Journal of Medical Research, 2008, 37(2): 72-74
Authors:Liu Yixin  Fu Yan
Abstract:Objective To investigate the incidence and risk factors of concomitant atherosclerotic renal artery stenosis(ARAS)and coronary heart disease(CAD).Methods In the study period 247 patients with known or suspected CAD underwent combined cardiac catheterization and renal artery angiography.Results Incidence of ARAS was 20%(44/220)in CAD.Logistic regression analysis showed only age,degree of coronery artery stenosis,peripheral atherosclerosis disease were independently predictor of ARAS.Conclusions Renal artery angiography should be performed routinely to indentify ARAS,especially in the patients with mutil-vessel lesions,old age and peripheral atherosclerosis disease.
Keywords:Atherosclerosis  Renal artery stenosis  Risk factor
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