碘海醇所致造影剂肾病的危险因素分析

发布时间：2018-03-11 09:27

  本文选题：经皮冠状动脉介入治疗　切入点：造影剂肾病　出处：《中国现代医学杂志》2015年09期 　论文类型：期刊论文

【摘要】：目的分析碘海醇所致造影剂肾病(CIN)的危险因素。方法收集在河北医科大学第一医院心内科行经皮冠状动脉造影的646例患者临床资料,根据造影剂肾病的诊断标准分为CIN组(n=116)和非CIN组(n=530),比较两组患者基础疾病、自身情况的差异,采用Logistic回归分析危险因素。结果 CIN组患者和非CIN组患者的2型糖尿病、慢性肾脏病、心力衰竭、低血压、心肌梗死、急诊PCI例数以及年龄、造影剂用量差异有统计学意义(P0.05)。Logistic回归分析显示:2型糖尿病、慢性肾脏病、心力衰竭、低血压、心肌梗死、年龄≥70岁、造影剂用量≥200 ml、急诊PCI是发生造影剂肾病的危险因素。结论碘海醇所致造影剂肾病的发生受到基础疾病、自身情况、造影剂用量等因素的影响,对于存在CIN高危因素的患者应引起临床上的高度重视。
[Abstract]:Objective to analyze the risk factors of contrast-agent nephropathy (cin) induced by iodohexol. Methods the clinical data of 646 patients undergoing percutaneous coronary angiography in the Department of Cardiology, first Hospital of Hebei Medical University, were collected. According to the diagnostic criteria of contrast medium nephropathy, the patients were divided into CIN group (n = 116) and non-#en1# group (n = 530). The difference of basic diseases and their own condition between the two groups was compared. Logistic regression analysis was used to analyze the risk factors. Results Type 2 diabetes in CIN group and non-#en4# group was analyzed. Patients with chronic kidney disease, heart failure, hypotension, myocardial infarction, emergency PCI, age, contrast medium dosage were significantly different. Logistic regression analysis showed that type 2 diabetes mellitus, chronic kidney disease, heart failure, hypotension, myocardial infarction, type 2 diabetes mellitus, chronic kidney disease, heart failure, hypotension, myocardial infarction, Age 鈮，

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