老年重症患者急性肾损伤的高危因素

发布时间：2018-01-02 03:29

本文关键词：老年重症患者急性肾损伤的高危因素　出处：《中国老年学杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨老年重症患者急性肾损伤(AKI)发生的高危因素。方法回顾性分析2012年2月至2013年9月在重症医学科住院的患者临床资料,按年龄分为老年组和中青年组。Logistic回归分析两组患者发生AKI的危险因素。结果共有316例患者符合入选标准,其中老年组137例,49例出现AKI,中青年组179例,42例出现AKI。多变量Logistic回归分析显示:序贯性器官衰竭评估(SOFA)总分是老年组患者发生AKI的独立危险因素,而中青年组患者发生AKI的独立危险因素是SOFA神经评分、入科时血糖水平、高血压和休克。结论老年重症患者住院期间AKI的发生率高。与中青年组不同,SOFA总分是老年重症患者发生AKI的独立危险因素。
[Abstract]:Objective to investigate the high risk factors of acute renal injury (AKI) in elderly patients with severe renal injury. Methods the clinical data of patients hospitalized in intensive care department from February 2012 to September 2013 were analyzed retrospectively. The risk factors of AKI were analyzed by logistic regression analysis. Results there were 316 patients who met the selection criteria, including 137 patients in the elderly group. AKI was found in 49 cases and 179 cases in the middle and young group. Multivariate Logistic regression analysis showed that the total score of sequential organ failure assessment was an independent risk factor for the occurrence of AKI in elderly patients. The independent risk factor of AKI in young and middle-aged patients was SOFA nerve score and blood glucose level. Conclusion the incidence of AKI in the elderly patients with severe illness is higher than that in the middle and young age group. The total score of sofa is an independent risk factor for the occurrence of AKI in the elderly patients with severe disease.
【作者单位】：黄山职业技术学院;皖南医学院附属黄山市人民医院重症医学科;
【分类号】：R692.5
【正文快照】： 1皖南医学院附属黄山市人民医院重症医学科在美国,65岁以上的老年人占据ICU 55%以上的床位〔1〕。而急性肾损伤(AKI)是重症老年患者最常见的并发症,发生率在35%以上〔2〕,合并AKI的老年患者病死率明显增高〔3〕。老年人由于自身的特点,发生AKI的危险因素以及AKI的发生、发展与

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