CAJ | 학술논문

　　目的探讨冠心病患者经皮冠状动脉介入术（percutaneous coronary intervention，PCI）治疗后造影剂肾病（contrast induced nephropathy，CIN）发生的危险因素及护理对策。方法选择120例接受PCI治疗的冠心病患者，了解患者术后发生CIN情况，采用Logistic回归分析法对CIN发生的危险因素进行分析。结果肾功能不全、高龄、糖尿病及造影剂用量是CIN发生的主要因素（均P＜0．05）。结论 PCI术前做好风险评估，合理使用造影剂，积极采取有效预防护理措施，可预防和减少CIN的发生。
　　목적탐토관심병환자경피관상동맥개입술（percutaneous coronary intervention，PCI）치료후조영제신병（contrast induced nephropathy，CIN）발생적위험인소급호리대책。방법선택120례접수PCI치료적관심병환자，료해환자술후발생CIN정황，채용Logistic회귀분석법대CIN발생적위험인소진행분석。결과신공능불전、고령、당뇨병급조영제용량시CIN발생적주요인소（균P＜0．05）。결론 PCI술전주호풍험평고，합리사용조영제，적겁채취유효예방호리조시，가예방화감소CIN적발생。
Objective To investigate the risk factors of contrast-induced renal nephropathy(CIN)in patients with coronary disease treated with interventional therapy and summarize the nursing strategies. Methods One hundred and twenly CHD patients treated with PCI were selected.Logistic regression analysis was done to screen out the risk factors of CIN. Result The main risk factors included renal inadequacy,advanced age,diabetes and contrast dosage(all P<0.05). Conclusion Risk assessment before PCI,rational use of contrast and preventive nursing measures are essential for the prevention and reduction of CIN.