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脓毒症急性肾损伤相关因素分析

郭玉红 戴浩然 刘清泉

世界中医药2017,Vol.12Issue(4):725-727,3.
世界中医药2017,Vol.12Issue(4):725-727,3.DOI:10.3969/j.issn.1673-7202.2017.04.002

脓毒症急性肾损伤相关因素分析

Analysis of relevant factors of sepsis-induced acute kidney injury

郭玉红 1戴浩然 2刘清泉3

作者信息

  • 1. 首都医科大学附属北京中医医院,北京,100010
  • 2. 北京中医医院顺义医院,北京,101300
  • 3. 中医感染性疾病基础研究北京市重点实验室,北京,100010
  • 折叠

摘要

Abstract

Objective:To discuss the clinical features of patients with sepsis-induced acute kidney injury(AKI) and the factors that affect prognosis.Methods:A total of 90 sepsis cases in Intensive Care Unit (ICU) of Beijing Hospital of Traditional Chinese Medicine from December, 2011 to December, 2016 were retrospectively analyzed.Simple and multiple logistic regression were used to analyze and study the clinical features and risk factors affecting prognosis.Results:A total of 42 sepsis cases were complicated by AKI.The mortality rate of cases with AKI was evidently higher than the rest without AKI (P<0.05).The analysis by simple logistic regression revealed that the major factors affecting the curing of AKI could be history of nephropathy, pulmonary infection, MODS, CRRT, intervention of Traditional Chinese Medicine and use of respirator.And the analysis by multiple logistic regression revealed that rising of MODS and pulmonary infection might increase the mortality risk.Conclusion:The amount of failure organs, and use of respirator can be taken as important reference for the estimates of the prognosis of patients with sepsis-induced AKI.

关键词

脓毒症/急性肾损伤/临床特点/预后

Key words

Sepsis/Acute kidney injury/Clinical features/Prognosis

分类

医药卫生

引用本文复制引用

郭玉红,戴浩然,刘清泉..脓毒症急性肾损伤相关因素分析[J].世界中医药,2017,12(4):725-727,3.

基金项目

北京协和医学基金会"睿E急诊医学研究专项基金"(编号:R2014077) (编号:R2014077)

世界中医药

OACHSSCDCSTPCD

1673-7202

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