中国实用内科杂志2012，Vol.32Issue(1)：65-67,3.
危重患者急性肾损伤危险因素分析
Analysis of risk factors in severe patients with acute kidney injury
刘运 1杨立川 1臧丽 1吴敏 1张凌 1付平1
作者信息
- 1. 四川大学华西医院肾内科,成都610041
- 折叠
摘要
Abstract
Objective To investigate the risk factors to cause acute kidney injury(AKI) in severe patients in surgical ICU and general ICU. Methods Between October 2009 and December 2009, a total of 273 patients admitted in surgical ICU and general ICU who had integrated datas and met the standards were selected and retrospectively analyzed for single factor and muti-factor analysis,respectively. Results The AKI occurrence rate was 27. 1% and mortality rate 45. 2% among severe patients in surgical ICU and general ICU. The independent risk factors of AKI include diabetes ( X,) ( P = 0. 006), Chronic liver Disease(X2 ) (P-O. 047) ,Non-surgery(X3 ) (P =0. 013) ,Scr > 120(X4)u,mol/L,Sepsis(Xs ) (P <0. 001) and Nephrotoxic agents applying( X6) (P =0. 004). The multivariate logistic regression model was: Logistic P = - 3. 556 + 1. 132X, + 1. 121X2 -0. 884X3 +0. 980X4 + 1.645X, + 2. 246X6. Conclusion Once AKI occurs among severe patients in surgical ICU and general ICU, the mortality rate can be significantly increased. The risk factors of AKI are mainly diabetes, chronic liver disease,non-surgery,scr>120 u,mol/L, sepsis and nephrotoxic agents applying. Surgical treatment may be a protective factor of AKI.关键词
危险因素/急性肾损伤/危重患者/糖尿病/慢性肝病Key words
risk factors/AKIjcriticlly ill patients分类
医药卫生引用本文复制引用
刘运,杨立川,臧丽,吴敏,张凌,付平..危重患者急性肾损伤危险因素分析[J].中国实用内科杂志,2012,32(1):65-67,3.
