中华老年心脑血管病杂志
中華老年心腦血管病雜誌
중화노년심뇌혈관병잡지
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2015年
11期
1185-1187
,共3页
李敏%李施展%俞书红%石瑞峰%赵玲玲%王兆露%杨昉%殷勤
李敏%李施展%俞書紅%石瑞峰%趙玲玲%王兆露%楊昉%慇勤
리민%리시전%유서홍%석서봉%조령령%왕조로%양방%은근
脑梗死%蛋白尿%高血压%年龄因素
腦梗死%蛋白尿%高血壓%年齡因素
뇌경사%단백뇨%고혈압%년령인소
brain infarction%proteinuria%hypertension%age factors
目的:探讨急性脑梗死患者踝肱指数(ankle‐brachial index ,ABI)与蛋白尿的相关性。方法连续收集2013年1月~2014年10月于南京军区南京总医院神经内科住院的年龄>60岁的急性脑梗死患者263例,依据是否存在蛋白尿分为蛋白尿阳性组73例,蛋白尿阴性组190例。根据ABI值分为ABI降低者44例(ABI≤0.9),ABI正常者143例(0.9<ABI≤1.3)以及ABI升高者76例(ABI>1.3),分析ABI与蛋白尿的相关性。结果263例患者中,73例(27.8%)伴发蛋白尿。与蛋白尿阴性组患者比较,蛋白尿阳性组患者在年龄、高血压、糖尿病、空腹血糖和ABI分布上存在统计学差异(P<0.05)。多因素分析显示年龄[OR=1.162,95% CI:1.095~1.233,P=0.001]、高血压史[OR=2.211,95% CI:1.012~4.831,P=0.047]和 ABI降低[OR=3.372,95% CI:1.312~8.668,P=0.028]与蛋白尿显著相关。结论在急性脑梗死患者中,年龄、高血压病史以及患者ABI降低对蛋白尿出现有预测价值。
目的:探討急性腦梗死患者踝肱指數(ankle‐brachial index ,ABI)與蛋白尿的相關性。方法連續收集2013年1月~2014年10月于南京軍區南京總醫院神經內科住院的年齡>60歲的急性腦梗死患者263例,依據是否存在蛋白尿分為蛋白尿暘性組73例,蛋白尿陰性組190例。根據ABI值分為ABI降低者44例(ABI≤0.9),ABI正常者143例(0.9<ABI≤1.3)以及ABI升高者76例(ABI>1.3),分析ABI與蛋白尿的相關性。結果263例患者中,73例(27.8%)伴髮蛋白尿。與蛋白尿陰性組患者比較,蛋白尿暘性組患者在年齡、高血壓、糖尿病、空腹血糖和ABI分佈上存在統計學差異(P<0.05)。多因素分析顯示年齡[OR=1.162,95% CI:1.095~1.233,P=0.001]、高血壓史[OR=2.211,95% CI:1.012~4.831,P=0.047]和 ABI降低[OR=3.372,95% CI:1.312~8.668,P=0.028]與蛋白尿顯著相關。結論在急性腦梗死患者中,年齡、高血壓病史以及患者ABI降低對蛋白尿齣現有預測價值。
목적:탐토급성뇌경사환자과굉지수(ankle‐brachial index ,ABI)여단백뇨적상관성。방법련속수집2013년1월~2014년10월우남경군구남경총의원신경내과주원적년령>60세적급성뇌경사환자263례,의거시부존재단백뇨분위단백뇨양성조73례,단백뇨음성조190례。근거ABI치분위ABI강저자44례(ABI≤0.9),ABI정상자143례(0.9<ABI≤1.3)이급ABI승고자76례(ABI>1.3),분석ABI여단백뇨적상관성。결과263례환자중,73례(27.8%)반발단백뇨。여단백뇨음성조환자비교,단백뇨양성조환자재년령、고혈압、당뇨병、공복혈당화ABI분포상존재통계학차이(P<0.05)。다인소분석현시년령[OR=1.162,95% CI:1.095~1.233,P=0.001]、고혈압사[OR=2.211,95% CI:1.012~4.831,P=0.047]화 ABI강저[OR=3.372,95% CI:1.312~8.668,P=0.028]여단백뇨현저상관。결론재급성뇌경사환자중,년령、고혈압병사이급환자ABI강저대단백뇨출현유예측개치。
s:Objective To study the relation between ankle‐brachial index (ABI) and proteinuria in acute ischemic stroke (AIS) patients .Methods Two hundred and sixty‐three AIS patients aged>60 years admitted to our hospital from January 2013 to October 2014 were divided into positive proteinuria group (n=73)and negative proteinuria group (n=190) .The patients were further di‐vided into ABI≤0 .9 group (n=44) ,0 .9<ABI≤1 .3 group (n=143) ,and ABI>1 .3 group (n=76) .Relation between ABI and proteinuria was analyzed .Results Of the 263 patients ,73 (27.8% )were diagnosed with proteinuria .The age was older ,the history of hypertension and dia‐betes mellitus was longer ,the serum FBG level and ABI were higher in positive proteinuria group than in negative proteinuria group (P< 0 .05) .Multivariate logistic regression analysis showed that age ,history of hypertension ,and low ABI were closely related with proteinuria (OR=1 .162 , 95% C I:1 .095-1 .233 ,P= 0 .001 ;OR= 2 .211 ,95% C I:1 .012 -4 .831 ,P=0 .047;OR=3 .372 , 95% CI:1.312 -8 .668 ,P= 0 .028) .Conclusion Age ,history of hypertension and low ABI can predict proteinuria in AIS patients .