广西医科大学学报2018,Vol.35Issue(4):487-490,4.DOI:10.16190/j.cnki.45-1211/r.2018.04.016
92例过敏性紫癜患儿的临床特征及合并肾损害的危险因素分析
Analysis of clinical features and risk factors of renal injury in 92 children with Henoch Schonlein purpura
摘要
Abstract
Objective::To investigate the clinical features and related factors of renal injury in 92 children with Henoch Schonlein purpura (HSP).Methods:Clinical data of 92 children with HSP in our hospital from August 2014 to August 2016 were retrospective analyzed.The clinical characteristics and risk factors for renal injury were analyzed.Results:HSP often occurred in 7-14 years old children,accounting for 57.61%.The male and female ratio in the patients was 1.36 ∶ 1.HSP often occurred in spring and winter.Children with HSP were accompanied by skin purpura that was obvious in both lower extremities.51.09% of HSP children were accompanied by gastrointestinal symptoms,mainly abdominal pain,abdominal distension and vomiting,and 45.65% children were arthralgia.Of 92 HSP children,there were 35 cases combined with renal damage,accounted for 38.04 %.Univariate and multivariate logistic regression analysis revealed that age ≥ 7 years,recurrent rash,increased plasma fibrinogen (FIB) level,decreased platelet (PLT) count and high-density lipoprotein (HDL) level were independent risk factors for renal injury in HSP children (P<0.05).Conclusion:HSP is a common disease in children that is characterized by typical symptoms.Older than 7 years,recurrent rash,increased plasma FIB,and decreased PLT and HDL are independent risk factors for renal injury in HSP children.关键词
过敏性紫癜/流行病学/肾损害Key words
Henoch Schonlein purpura/epidemiology/renal injury分类
医药卫生引用本文复制引用
刘丽君..92例过敏性紫癜患儿的临床特征及合并肾损害的危险因素分析[J].广西医科大学学报,2018,35(4):487-490,4.基金项目
2015年甘肃省卫生行业科研计划项目(No.GSWSKY-2015-43) (No.GSWSKY-2015-43)