首页|高尿酸血症相关肾损害的危险因素分析

高尿酸血症相关肾损害的危险因素分析

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目的 分析高尿酸血症(HUA)相关肾损害的危险因素.方法 选取2021年4月至2023年3月本院收治的HUA患者132例,根据是否发生肾功能损伤分为肾功能损伤组54例及肾功能正常组78例.采用Logistic回归模型分析HUA肾功能损伤的影响因素,采用ROC曲线分析临床指标评估肾功能损伤的价值,采用Pearson相关性分析临床指标与肾功能损伤指标的相关性.结果 肾功能损伤组患者病程、收缩压、TG、LDL-C、SUA、BUN、Scr水平明显高于肾功能正常组(P<0.05),eGFR水平明显低于肾功能正常组(P<0.05);Logistic回归分析显示,病程、收缩压、TG、LDL-C、SUA是影响HUA肾功能损伤的主要因素(P<0.05);病程、收缩压、TG、LDL-C、SUA评估HUA肾功能损伤的AUC分别为0.596、0.545、0.746、0.651、0.724;Pearson相关性分析显示,病程、收缩压、TG、LDL-C、SUA与Scr呈正相关,与eGFR呈负相关.结论 病程、血压、SUA、LDL-C、TG是HUA肾功能损伤的独立危险因素,定期监测有助于早期筛查肾功能损伤.
Objective To investigate the risk factors for renal damage associated with hyperuricemia(HUA).Methods The clinical data of 132 patients with HUA admitted to our hospital from April 2021 to March 2023 were retrospectively analyzed,and they were divided into the kidney injury group(54 cases)and the normal kidney function group(78 cases)according to whether they had renal injury.The clinical data of the two groups were compared,the factors of kidney injury was analyzed,receiver operating characteristic curve(ROC)was used to analyze the predictive value,and Pearson correlation was used to analyze the correlation between clinical index and kidney injury indicators.Results The levels of disease course,systolic blood pressure,triglycerides(TG),low density lipoprotein cholesterol(LDL-C),serum uric acid(SUA),urea nitrogen(BUN)and serum creatinine(Scr)in the kidney injury group were significantly higher than those in the normal kidney function group(P<0.05),glomerular filtration rate(eGFR)level was significantly lower than that of normal kidney function group(P<0.05).Logistic regression analysis showed that disease course,systolic blood pressure,TG,LDL-C and SUA were the main factors affecting kidney injury in hyperuricemia patients(P<0.05).ROC curve analysis results showed that the AUC of disease course,systolic blood pressure,TG,LDL-C and SUA were 0.596,0.545,0.746,0.651 and 0.724,respectively.Pearson correlation analysis showed that disease course,systolic blood pressure,TG,LDL-C,SUA were positively correlated with Scr,was negatively correlated with eGFR.Conclusion Disease course,blood pressure,SUA,LDL-C and TG are significantly correlated with kidney injury in HUA patients,and monitoring their levels is helpful for early screening of kidney injury.

HyperuricemiaUric acidLow density lipoprotein cholesterolTriglycerideKidney injury

朱永福、林崇泽、邵思思

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325000 浙江中医药大学附属温州市中医院

高尿酸血症 尿酸 低密度脂蛋白胆固醇 甘油三酯 肾功能损害

温州市科技计划

Y20210894

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(5)
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