CAJ | 학술논문

目的探讨老年患者医院获得性急性肾损伤(HA-AKI)的相关危险因素,为老年HAAKI患者的早期诊断及治疗提供理论及临床依据.方法对我院2010年5月至2012年5月住院的385例老年HA-AKI患者的病因和临床特点进行回顾性分析.结果导致老年HA-AKI的主要原因为肾毒性药物(88例,占22.85％),感染(76例,占19.74％),肾前性血灌注不足(71例,占18.44％),各种手术(68例,占17.66％),肾后性梗阻(42例,占10.91％).结论老年HA-AKI的病因复杂,危险因素较多,主要为肾毒性药物、感染、肾前性灌注不足、各种手术及肾后性梗阻,提示对老年住院患者应密切观察,以期早期发现、积极预防.
목적 탐토노년환자의원획득성급성신손상(HA-AKI)적상관위험인소,위노년HAAKI환자적조기진단급치료제공이론급림상의거.방법 대아원2010년5월지2012년5월주원적385례노년HA-AKI환자적병인화림상특점진행회고성분석.결과 도치노년HA-AKI적주요원인위신독성약물(88례,점22.85％),감염(76례,점19.74％),신전성혈관주불족(71례,점18.44％),각충수술(68례,점17.66％),신후성경조(42례,점10.91％).결론 노년HA-AKI적병인복잡,위험인소교다,주요위신독성약물、감염、신전성관주불족、각충수술급신후성경조,제시대노년주원환자응밀절관찰,이기조기발현、적겁예방.
Objective To explore the related risk factors of elderly patients with hospital acquired acute kidney injury (HA-AKI),to provide theoretical and clinical basis for early diagnosis and treatment.Methods In our hospital from May 2010 to May 2012 the 385 hospitalized elderly patients with HA-AKI etiology and clinical features were retrospectively analyzed.Results Alzheimer HA-AKI kidney toxicity was the main cause of the drug (88 cases,22.85％),infection (76 cases,19.74％),before renal blood perfusion deficiency (71 cases,18.44％),all kinds of surgery (68 cases,17.66％),after renal obstruction (42 cases,10.91％),pure between AKI and AKI occurred on the basis of chronic kidney disease (CKD) in the proportion of the HA-AKI (％) there was no statistical significant difference (P ＞ 0.05).Conclusion There are many causes of the complex elderly HA-AKI,risk factors mainly include the renal toxicity of drugs,infections,renal hypoperfusion,all kinds of snrgery and after obstruction,which suggests that elderly hospitalized patients should be closely observed,for early detection and active prevention.