CAJ | 학술논문

目的：了解支气管动脉造影和栓塞后造影剂肾病的危险因素。方法回顾性分析2012年1月至2013年12月间于徐汇区大华医院介入肿瘤科行支气管动脉造影或支气管动脉栓塞术的100例患者资料。将发生造影剂肾病和无造影剂肾病患者进行比较，对造影剂肾病的影响因素行单因素分析和多因素Logistic回归分析。结果100例患者中88例符合入选标准，其中7例发生造影剂肾病(7.95%)。造影剂肾病发生的平均时间为(2.36±0.72) d。单因素分析显示，低白蛋白血症(P=0.002)、低血压(P=0.036)和肾功能衰竭(P=0.001)与造影剂肾病的发生显著相关，而多因素分析仅提示低白蛋白血症与造影剂肾病的发生显著相关(P=0.0220)。结论造影剂肾病发生率高于预期，低白蛋白血症患者更需防范支气管动脉造影和栓塞后造影剂肾病的发生。
목적：료해지기관동맥조영화전새후조영제신병적위험인소。방법회고성분석2012년1월지2013년12월간우서회구대화의원개입종류과행지기관동맥조영혹지기관동맥전새술적100례환자자료。장발생조영제신병화무조영제신병환자진행비교，대조영제신병적영향인소행단인소분석화다인소Logistic회귀분석。결과100례환자중88례부합입선표준，기중7례발생조영제신병(7.95%)。조영제신병발생적평균시간위(2.36±0.72) d。단인소분석현시，저백단백혈증(P=0.002)、저혈압(P=0.036)화신공능쇠갈(P=0.001)여조영제신병적발생현저상관，이다인소분석부제시저백단백혈증여조영제신병적발생현저상관(P=0.0220)。결론조영제신병발생솔고우예기，저백단백혈증환자경수방범지기관동맥조영화전새후조영제신병적발생。
Objective To analyze the risk factors of contrast-induced nephropathy (CIN) after bronchial ar-teriography or bronchial artery embolization. Methods We reviewed the medical records of 100 patients who un-derwent bronchial arteriography or bronchial artery embolization (BAE) in Shanghai Dahua Hospital from January 2012 to December 2013 retrospectively. The patients who suffered CIN and Those without CIN were then com-pared, and the risk factors of CIN were analyzed by single factor analysis and multivariate logistic regression analy-sis. Results Among the 100 patiens, 88 met the enrollment criteria, of which 7 patients developed CIN (8.0%). The mean duration between the exposure and development of CIN was (2.36 ± 0.72) days. Hypoalbuminemia (P=0.002), hypotension (P=0.036) and renal failure (P=0.001) were found to be significantly associated with the de-velopment of CIN according to single factor analysis, while hypoalbuminemia (P=0.0220) was the only factor found to be significantly associated with the development of CIN according to multivariate logistic regression analysis. Conclusion The incidence of CIN is higher than expected, and patients with hypoalbuminemia should be cared more carefully to prevent CIN after bronchial arteriography or BAE.