实用医学杂志2017，Vol.33Issue(7)：1040-1043,4.DOI:10.3969/j.issn.1006-5725.2017.07.006
成人房颤急性脑梗死与非房颤急性脑梗死住院患者肾功能不全的对照分析
Comparison of acute ischaemic stroke adult patients with atrial fibrillation to without atrial fibrillation in the effect on renal dysfunction
陈兴东 1罗伟良1
作者信息
- 1. 516001 广东省惠州市,广东医科大学附属惠州医院,广东省惠州市中心人民医院
- 折叠
摘要
Abstract
Objective To find out whether inpatients with acute ischaemic stroke and atrial fibrillation (AF) have higher rate of renal dysfunction than without AF,and analyze risk factors associated with renal dysfunction.Method 374 patients with acute ischaemic stroke and AF were enrolled,which cases have complete data.500 patients were randomly selected as the non-AF group.To compare the prevalence of renal dysfunction [eGFR ＜ 60 mL/(min· 1.73 m2)] of two groups.Non-conditional Logistic regression analysis was used to detemmine the factors associated with renal dysfunction.Results 374 patients in AF group,114 (30.5％) were renal dysfunction;500 patients in non-AF group,75 (15％) were renal dysfunction (P =0.000,OR =2.485).The eGFR of AF and non-AF group was (77.75 ± 39.89) mL/(min· 1.73 m2) and (96.93±39.14) mL/(min · 1.73 m2).In Logis tic regression analysis,heart dysfunction (OR =2.057),hypertension (OR =1.826),diabetes (OR =1.897),hypevuricemia (OR =3.161) were found to be associated with renal dysfunction.Conclusions Adult patients with acute ischaemic stroke and AF have a higher rate of renal dysfunction than acute ischaemic stroke without AF.Heart dysfunction,hypertension,diabetes,hyperuricemia were factors associated with renal dysfunction.关键词
急性脑梗死/房颤/肾功能不全Key words
Acute ischaemic stroke/Atrial fibrillation/Renal dysfunction引用本文复制引用
陈兴东,罗伟良..成人房颤急性脑梗死与非房颤急性脑梗死住院患者肾功能不全的对照分析[J].实用医学杂志,2017,33(7):1040-1043,4.
