首页|恶性肿瘤合并急性肾损伤患者预后的相关影响因素分析

恶性肿瘤合并急性肾损伤患者预后的相关影响因素分析

扫码查看
目的 了解恶性肿瘤合并急性肾损伤患者预后情况,并分析其相关影响因素.方法 采用前瞻性研究方法,选取84 例恶性肿瘤合并急性肾损伤患者作为研究对象,依据患者预后情况将其分为预后良好组和预后不良组,比较2 组临床资料,同时设计患者基线资料表,纳入具有统计学意义的变量构建Logistic回归模型,分析恶性肿瘤合并急性肾损伤患者预后的相关影响因素.结果 84 例恶性肿瘤合并急性肾损伤患者中预后不良 32 例,占比 38.10%;预后良好52 例,占比61.90%.预后不良组恶性肿瘤合并急性肾损伤患者低血压、机械通气治疗、多功能器官衰竭占比高于预后良好组患者,差异有统计学意义(P<0.05);预后不良组BUN水平高于预后良好组,差异有统计学意义(P<0.05);构建Logistic回归模型,分析结果显示,低血压、机械通气治疗、多功能器官衰竭以及BUN水平是恶性肿瘤合并急性肾损伤患者预后的影响因素(OR>1,P<0.05).结论 恶性肿瘤合并急性肾损伤患者预后不良风险相对较高,低血压、机械通气治疗、多功能器官衰竭以及BUN水平是恶性肿瘤合并急性肾损伤患者预后的影响因素.
Analysis of Prognostic Factors in Patients with Malignant Tumors Combined with Acute Kidney Injury
Objective To study the prognosis of patients with malignant tumors combined with acute kidney injury and analyze its related influencing factors.Methods A prospective research method was used to select 84 patients with malignant tumors combined with acute kidney injury as the study subjects.They were divided into a good prognosis group and a poor progno-sis group based on the patient's prognosis.Clinical data were compared between the 2 groups,and a baseline data table was de-signed to incorporate statistically significant variables to construct a logistic regression model.The relevant influencing factors on the prognosis of patients with malignant tumors combined with acute kidney injury were analyzed.Results Among 84 patients with malignant tumors and acute kidney injury,32 had poor prognosis,accounting for38.10%;52 cases had a good prognosis,ac-counting for61.90%.The proportion of hypotension,mechanical ventilation treatment,and multiple organ failure in patients with malignant tumors combined with acute kidney injury in the poor prognosis group was higher than that in patients with good progno-sis group,and the difference was statistically significant(P<0.05);The BUN level in the group with poor prognosis was higher than that in the group with good prognosis,and the difference was statistically significant(P<0.05);Constructing a logistic re-gression model,the analysis results showed that hypotension,mechanical ventilation treatment,multiple organ failure,and BUN levels were influencing factors for the prognosis of patients with malignant tumors and acute kidney injury(OR>1,P<0.05).Conclusion Patients with malignant tumors combined with acute kidney injury have a relatively high risk of poor prognosis.Low blood pressure,mechanical ventilation treatment,multiple organ failure,and BUN levels are influencing factors for the prognosis of patients with malignant tumors combined with acute kidney injury.

TumorAcute kidney injuryInfluence factor

王红林、李叶、刘敏

展开 >

450000 郑州大学第一附属医院

肿瘤 急性肾损伤 影响因素

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(2)
  • 1
  • 9