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中晚期CKD患者腹主动脉钙化发生情况及危险因素分析
引用本文:鲍宏达,盛晓华,汪年松,程东生,简桂花,许涛,薛勤,高许萍,崔勇平,俞岗. 中晚期CKD患者腹主动脉钙化发生情况及危险因素分析[J]. 中国中西医结合肾病杂志, 2014, 0(11): 957-960
作者姓名:鲍宏达  盛晓华  汪年松  程东生  简桂花  许涛  薛勤  高许萍  崔勇平  俞岗
作者单位:上海交通大学附属第六人民医院肾内科,上海200233
基金项目:国家自然基金面上项目(No.81270824); 上海市级医院新兴前沿技术攻关项目(No.SHDC12006101); 上海市科委基金资助项目(No.11DZ1921904); 上海市科委基础研究重大项目(No.11DJ1400101); 上海市科委重大项目(No.11DZ1973103)
摘    要:目的:分析中晚期CKD患者腹主动脉钙化的发生情况和危险因素。方法:63例透析及非透析CKD患者进行腹部侧位片的检查,分析腹主动脉钙化发生情况及影响因素。结果:中晚期CKD患者腹主动脉钙化发生率为54%;腹主动脉钙化与年龄、血磷水平、钙磷乘积和低密度脂蛋白水平呈正相关(P〈0.05)。结论:中晚期CKD患者腹主动脉钙化高发,远端起病,年龄、血脂、钙磷水平影响其程度。

关 键 词:慢性肾脏病  钙磷代谢  腹主动脉钙化

Analysis the Occurrence and Risk Factors of Abdominal Aorta Calcification in Advanced CKD Patients
Affiliation:BAO Hongda, SHENG Xiaohua, WANG Niansong, et al(Shanghai Sixth People' Hospital, Shanghai Jiaotong University(200233 ))
Abstract:Objective:To analysis the occurrence of abdominal aorta calcification in advanced CKD patients, and to clear its risk factors. Methods:Lateral radiographs of the abdomen, echocardiography, carotid ultrasound examination were done in 63 cases of dialysis and non-dialysis patients. The occurrence and risk factors of abdominal aortic calcification and the relationship with carotid atherosclerosis were investigated. Results:The abdominal aortic calcification score ( AAC) was positively correlated with age, serum phosphate levels and calcium-phosphorus product and LDL levels (P〈0. 05). AAC was positively correlated with left atrial antero-posterior diameter(LAD), PASP and IMT(P〈0. 05), and was negatively correlated with EF and FS. Conclusion:The Incidence of abdominal aortic calcification was 54% in the CKD patients, IMT and EF was independent risk factors with abdominal aortic calcifica-tion severity for CKD patients.
Keywords:Chronic kidney disease  Calcium and phosphorus metabolism  Abdominal aorta calcification
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