川北医学院学报Issue(3)：323-326,4.DOI:10.3969/j.issn.1005-3697.2015.03.12
蜂蜇伤后急性肾损伤的临床特征及其危险因素分析
Clinical features and risk factors of patients with acute kidney injury fol-lowing bee stings
摘要
Abstract
Objective:To identify the clinical features and risk factors of patients with acute kidney injury ( AKI) following bee stings in Sichuan. Methods:We retrospectively analyzed the clinical material of 385 patients with bee stings who admitted to the emer-gency department of 9 hospitals in Sichuan during January 1,2010 and December 31,2011,and evaluated the risk factors of bee stings related AKI with Logistic Regression Analysis,the influence of AKI on death with Fisher exact probability method. Results:The morbid-ity of AKI in these bee stings patients was 10. 1%. The mortality of AKI patients was significantly higher than that of non AKI group. Compared with the non AKI group,patients in the AKI group were older,had higher proportion with history of cardiovascular disease or bee stings injury history,higher proportion of multiple stings and allergic reactions,longer sting to treatment time,and higher mean arte-rial pressure at admission (P<0. 05). Logistic regression analysis showed that multiple stings,previous history of bee stings,longer sting to treatment time,higher mean arterial pressure and bee stings anaphylaxis were the independent risk factors of AKI occurred in patients with bee stings (P<0. 05). Conclusion:Multiple stings,previous history of bee stings,longer sting to treatment time,higher mean arterial pressure and bee stings anaphylaxis were the independent risk factors of AKI occurred in patients with bee stings.关键词
蜂蜇伤/急性肾损伤/流行病学/危险因素/预后Key words
Bee stings/Acute kidney injury/Epidemiology/Risk factors/Prognosis分类
医药卫生引用本文复制引用
姚蓉,杜敏,胡海,倪芬,曹钰..蜂蜇伤后急性肾损伤的临床特征及其危险因素分析[J].川北医学院学报,2015,(3):323-326,4.基金项目
四川省科技厅应用技术研究与开发项目(2010SZ0097) （2010SZ0097）
