动脉硬化性肾动脉狭窄临床危险因素分析
Analysis of clinical risk factors in patients with renal artery stenosis
姚昆 1白丽2
作者信息
- 1. 国家发展和改革委员会门诊部,北京,100824
- 2. 空军总医院,北京,100036
- 折叠
摘要
目的:分析动脉硬化性肾动脉狭窄(ARAS)的相关危险因素及与肾功能的相关性.方法:通过选择性肾动脉造影选取ARAS患者38例,分析其临床资料,并选取30例肾动脉正常者作为对照,进行多因素Logistic回归分析.结果:ABAS组与对照组相比较,冠心病、冠状动脉多支病变、糖尿病、肾功能不全患者的患病率增高(P<0.05).年龄、收缩压、肌酐、尿素氮水平明显升高(P<0.05).结论:老年、冠心病、冠状动脉多支病变、高收缩压、糖尿病为ABAS患者的危险因素,严重的ARAS可导致肾功能不全.
Abstract
AIM: To analyze the risk factors of patients with atherosclerotic renal artery stenosis (ARAS) and to explore their correlation with renal functions. METHODS: The renal angiog-raphy and renal function of 38 ARAS patients were measured and compared with those of 30 healthy controls. RESULTS: Com-pared with those of healthy controls, the prevalence rotes of coro-nary artery disease, multiple vessel lesions, diabetes, and renal dysfunction increased significantly(P<0.05), and the age, sys-tolic blood pressure(SBP), levels of blood urea nitrogen(BUN) and serum creatinine(SCr) were significantly higher(P<0.05) in ARAS patients. CONCLUSION: Senility, coronary artery diseases, multiple vessel lesions, high SBP, diabetes and renal dysfunction are risk factors for ARAS. Severe renal artery stenosis may lead to renal dysfunction.
关键词
肾动脉狭窄/动脉粥样硬化/肾功能不全/动脉造影Key words
renal artery stenosis/atherosclerotic/renaldysfunction/angiography引用本文复制引用
出版年
2009
NETL
NSTL
维普
万方数据