冠状动脉造影术后造影剂肾病的危险因素分析

发表时间：2014-02-08 浏览次数：1030次

引用：

程谦,王琳.冠状动脉造影术后造影剂肾病的危险因素分析[J].中国医师进修杂志,2013,36(10):4-6.

关键词：

危险因素造影剂肾病冠状动脉造影

作者：

程谦王琳

作者单位：

大连医科大学附属第二医院肾内科，大连市中心医院心内5科

出版年份：

2013

期刊页数：

4-6.

收录者：

万方

摘要：

目的探讨冠状动脉造影术后造影剂肾病(CIN)发生的相关危险因素.方法选择200例行冠状动脉造影患者为研究对象,根据患者术后48 ～ 72 h是否发生CIN分为CIN组和非CIN组,对其CIN发生的相关危险因素进行分析.结果 200例行冠状动脉造影患者中有13例发生CIN,CIN发生率为6.5％(13/200).Logistic回归分析显示原有肾功能不全、糖尿病、造影剂剂量及高龄与CIN的发生有关(P＜0.05).结论原有肾功能不全、糖尿病、造影剂剂量及高龄是冠状动脉造影术后CIN发生的危险因素. Objective To investigate the risk factors of contrast-induced nephropathy (CIN) in patients after coronary angiography.Methods Two hundred patients underwent coronary angiography were enrolled in this study.The patients were divided into CIN group and non-CIN group according to the occurrence of CIN after coronary angiography of 48-72 h,and then the related risk factors of CIN were analyzed.Results Thirteen cases of CIN were found in 200 patients,and the occurrence rate was 6.5％(13/200).Logistic regression analysis showed that risk factors of CIN included primary renal insufficiency,diabetes,contrast agent dose and advanced age (P ＜ 0.05).Conclusion Primary renal insufficiency,diabetes,contrast agent dose and advanced age are risk factors of CIN in patients after coronary angiography.

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