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脑卒中与慢性肾功能不全的关系研究

地里木拉提·阿不都拉 杨莉 热娜古丽·努尔 孙岩 桑晓红

中国全科医学2012,Vol.15Issue(29):3351-3353,3.
中国全科医学2012,Vol.15Issue(29):3351-3353,3.DOI:10.3969/j.issn.1007-9572.2012.10.048

脑卒中与慢性肾功能不全的关系研究

Study on the Relationship between Stroke and Chronic Renal Insufficiency

地里木拉提·阿不都拉 1杨莉 1热娜古丽·努尔 1孙岩 2桑晓红2

作者信息

  • 1. 830054,新疆乌鲁木齐市,新疆医科大学第一附属医院肾病科
  • 折叠

摘要

Abstract

Objective To understand the condition of patients with stroke combined with renal insufficiency and to explore the relationship between stroke and chronic renal insufficiency. Methods Clinical data of 486 stroke patients firstly admitted to our hospital were retrospectively analyzed. The sex, age, ethnicity, disease history and carotid artery condition of the patients were observed. Kidney Disease Diet Adjustment Method was used to calculate glomerular filtration rate and the criteria of judging chronic renal insufficiency was glomerular filtration rate < with 60 ml·min-1·(1. 73 m) according to the staging standard of K/DOQI. The neurological deficit was assessed by Stroke Scale of U. S. National Institutes of Health. Results 121 out of the 486 patients had renal insufficiency, accounting for 24. 9% . The sex composition, history of primary hypertension and incidences of dyslipidemia, hyperuricemia, intimal thickening of the carotid artery and carotid artery plaque showed statistically significant differences between the renal insufficiency group and non-renal insufficiency group (P < 0. 05). The incidences of brain hemorrhage and non-lacunar infarction between renal insufficiency group and non-renal insufficiency group showed statistically significant differences (P <0. 05). The level of neurological deficit between patients with stroke combined with renal insufficiency and patients without renal insufficiency showed statistically significant difference (u = 3. 609, P = 0. 000). Conclusion The incidence of stroke combined with renal insufficiency is high, indicating chronic renal insufficiency is of great importance in predicting the prognosis of new stroke patients.

关键词

卒中/肾功能不全,慢性/肾小球滤过率/预后

Key words

Stroke/ Renal insufficiency, chronic/ Glomerular filtration rate/ Prognosis

分类

医药卫生

引用本文复制引用

地里木拉提·阿不都拉,杨莉,热娜古丽·努尔,孙岩,桑晓红..脑卒中与慢性肾功能不全的关系研究[J].中国全科医学,2012,15(29):3351-3353,3.

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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