CAJ | 학술논문

目的：探讨冠状动脉介入术患者对比剂肾病的发病危险因素。方法：收集我院2010年03月～2011年10月期间住院的360例接受冠状动脉介入术患者的临床资料，以血肌酐为标准，测定介入治疗前后血清肌酐，分析发生对比剂肾病危险因素。结果：360例患者发生对比剂肾病28例，发生率7．71％（28/360），Logistic回归分析发现：吸烟支年、对比剂用量、遗传、高血压病、糖尿病、干预方法有统计学意义（P＜0．05），即上述因素与CIN的发病密切相关。而性别、病变支数、LDL、尿酸与CIN的发病无明显相关关系。结论：CIN的发生危险因素包括吸烟支年、对比剂用量、遗传、高血压病、糖尿病、干预方法等。
목적：탐토관상동맥개입술환자대비제신병적발병위험인소。방법：수집아원2010년03월～2011년10월기간주원적360례접수관상동맥개입술환자적림상자료，이혈기항위표준，측정개입치료전후혈청기항，분석발생대비제신병위험인소。결과：360례환자발생대비제신병28례，발생솔7．71％（28/360），Logistic회귀분석발현：흡연지년、대비제용량、유전、고혈압병、당뇨병、간예방법유통계학의의（P＜0．05），즉상술인소여CIN적발병밀절상관。이성별、병변지수、LDL、뇨산여CIN적발병무명현상관관계。결론：CIN적발생위험인소포괄흡연지년、대비제용량、유전、고혈압병、당뇨병、간예방법등。
Objective:Aim to investigate the risk factors of contrast -induced Nephropathy ( CIN) in the percutaneous coronary inter-vention(PCI).Methods:To collect the clinical data of 360 patients who underwent the PCI from March ,2010 to November, 2011, In or-der to serum creatinine as a standard , recorded the creatinine ( Cre) before and after treatment , and analyse the risk factors for occurrence of CIN.Results:The incidence of serum creatinine -based CIN was7.78%(28/360) in all .Risk factors Analysis:smoking variables of years, contrast agent dosage , genetic, hypertension, diabetes, intervention methods are statistically significant .But sex, lesion count, LDL, uric acid do not show statistically significant differences .Conclusion:The occurrence of CIN is closely associated with risk factors . such as smoking, contrast agent dosage , genetic, hypertension, diabetes, intervention methods and CIN .