摘要
目的探讨急性脑血管病(ACVD)发生急性肾功能损害的相关因素。为临床合理治疗急性脑血管病,预防肾功能损害发生提供依据。方法将入院时肾功能正常而入院后一周复查尿素氮及肌肝超正常值的60例为观察组(1组),尿素氮及肌肝正常的40例为对照组(11组)。结果脑卒中类型,肺部感染,糖尿病患者及应用甘露醇合并速尿与急性脑血管病发生肾功能改变有关,与对照组比较,差异显著P〈0.01,同时发生急性肾功能改变后,病死率明显增加P〈0.01。结论合理应用甘露醇,找出影响肾功能的危险因素,为预防肾功能损害的发生提供依据。
Objective To explore the correlative factors of acute impaired renal function（AIRF） resulting from acute cerebrovascular disease（ACVD） and provide a reasonable basis for the clinical treatment of ACVD and the prevention of IRF. Methods The observation group consisted of 60 cases with normal renal function before admission and with higher urea nitrogen and creatinine after one-week admission; the control group 40 cases with normal urea nitrogen and creatinine. Results The patients with cerebral apoplexy, pulmonary infection, and diabetes were correlated with IRF caused by ACVD. Compared with the control group, the differences were quite striking（P〈0.01）. The death rate in the observation group was higher than that in the control group（P〈0.01） after the acute impaired renal function. Conclusion It will provide a rational basis for the preven-tion of IRF to apply mannitol properly and find out the dangerous factors affecting renal function.
出处
《罕少疾病杂志》
2007年第6期18-20,共3页
Journal of Rare and Uncommon Diseases
关键词
急性脑血管疾病
肾功能损害
危险因素
acute cerebrovascular disease
impaired renal function
dangerous factors
