实用休克杂志（中英文）2023，Vol.7Issue(6)：354-358,5.
急性非ST段抬高型心肌梗死患者发生急性肾损伤相关危险因素分析
Risk factors of acute kidney injury in patients with acute non-ST segment elevation myocardial infarction
摘要
Abstract
Objective To investigate the morbidity and mortality of patients with acute non-ST segment elevation myocardial infarction(NSTEMI)and explore its risk factors.Methods Patients in emergency department from Peking University Peoples hospital diagnosed with NSTEMI from Oc-tober 2018 to September 2020 were enrolled.All were divided into AKI and non-AKI group.The sta-tistical analysis was performed to obtain the AKI risk factors,P＜ 0.05 was considered significantly.Results 556 patients were enrolled and the average age is 70 years old,of who 26.3％performed AKI,and the mortality of AKI group and non-AKI group was 9.0％and 3.2％,respectively(P=0.004).Logistic regression analysis indicated that age,chronic kidney disease,Killip grade ≥3 stage,troponin I,B-type natriuretic peptide,LVEF and non-use of ACEI/ARB were potential risk factors for AKI in NSTEMI patients.Conclusions This study analyzed the underlying risk factors for AKI after USTEMI,and found that advanced age,combined with renal and cardiac dysfunction were the main risk factors for AKI in USTEMI patients.Meanwhile,the use of ACEI/ARB may be a pro-tective indicator.关键词
急性非ST段抬高型心肌梗死/急性肾损伤/危险因素/血管紧张素转化酶抑制剂/血管紧张素受体拮抗剂Key words
Acute non-ST segment elevation myocardial infarction/Acute kidney injury/Risk factor/ACEI/ARB引用本文复制引用
王惠,林国兴,马云晖,马晓路,缪邈,朱继红,裴源源..急性非ST段抬高型心肌梗死患者发生急性肾损伤相关危险因素分析[J].实用休克杂志（中英文）,2023,7(6):354-358,5.基金项目
北京大学人民医院研究与发展基金(项目编号:RDC2015-23) （项目编号:RDC2015-23）
北京大学人民医院研究与发展基金(项目编号:PTU2021-02) （项目编号:PTU2021-02）
首都临床特色应用研究与成果推广(项目编号:Z161100000516045) （项目编号:Z161100000516045）
