CAJ | 학술논문

目的分析出非体外循环下行冠状动脉旁路移植术后早期发生急性肾损伤的单因素和多因素危险因子.方法分析2011年1月-2013年12月在非体外循环下行冠状动脉旁路移植术261例患者的临床资料,根据临床诊断AKI的标准,术后发生急性肾损伤的患者29例(AKI组),男22例,女7例,平均年龄(68.74±10.27)岁;未发生急性肾损伤的患者232例(非AKI组),男179例,女53例,平均年龄(66.26±9.82)岁.总结术前血压、左心室射血分数(LVEF)、左心室内径、血肌酐及术后并发症等,利用SPSS统计软件对急性肾损伤有关的因素进行Logistic回归分析.结果全组AKI发病率为11.11％(29/261),住院死亡1例.统计学分析结果显示,术前血肌酐含量、麻醉时间、围术期输血是导致冠状动脉旁路移植术后发生AKI的危险因素.结论 AKI是冠状动脉旁路移植术后常见的并发症,术前应认真评估危险因素,加强肾功能保护才能降低AKI发生的风险.
목적 분석출비체외순배하행관상동맥방로이식술후조기발생급성신손상적단인소화다인소위험인자.방법 분석2011년1월-2013년12월재비체외순배하행관상동맥방로이식술261례환자적림상자료,근거림상진단AKI적표준,술후발생급성신손상적환자29례(AKI조),남22례,녀7례,평균년령(68.74±10.27)세;미발생급성신손상적환자232례(비AKI조),남179례,녀53례,평균년령(66.26±9.82)세.총결술전혈압、좌심실사혈분수(LVEF)、좌심실내경、혈기항급술후병발증등,이용SPSS통계연건대급성신손상유관적인소진행Logistic회귀분석.결과 전조AKI발병솔위11.11％(29/261),주원사망1례.통계학분석결과현시,술전혈기항함량、마취시간、위술기수혈시도치관상동맥방로이식술후발생AKI적위험인소.결론 AKI시관상동맥방로이식술후상견적병발증,술전응인진평고위험인소,가강신공능보호재능강저AKI발생적풍험.
Objective Univariate analysis and multivariate risk factors of early acute kidney injury on off-pump coronary artery bypass grafting are performed.Methods Analyzed retrospectively the clinical date of 261 patients who underwent off-pump coronary artery bypass surgery between Jan 2011 to Dec 2013.According to the clinical diagnostic ctriteria,261 patients were divided into AKI group (n =29) and NAKI group(n =232).There were 22 males and 7 females with an age of (68.74 ± 10.27) years in the AKI group,there were 179 males and 53 females with an age of (66.26 ± 9.82) years in the NAKI group.we summarize the clinical date,including blood pressure,left ventricular ejecting fraction,diameter of the left ventricle and serum creatinine before operation,and observed postoperative complications etc.Evaluated the factors for AKI Using Logistics regression analysis statistical methods.Results Among all the patients,the incidence of AKI was 11.11％ (29/261),1 patients died in all the patients for AKI.The statistical analysis revealed that the serum creatinine after operation,anesthesia time,and perioperative blood transfusion were the risk factors for acute injury after off-pump coronary artery bypass surgery.Conclusion AKI is the most common complication of off-pump coronary artery bypass surgery.we should carefully evaluate risk factors and enhance protection of the renal function and reduce the risk of AKI occurred.