摘要
目的通过对2018年1—8月在新疆维吾尔自治区第六人民医院住院的HIV感染者/AIDS患者进行回顾性调查,了解其肾损伤(急性肾损伤、慢性肾脏病)发生率、临床特点及影响因素,为我区HIV感染者/AIDS患者肾损伤的临床诊治提供有力证据。方法采集纳入研究的1933例HIV感染者/AIDS患者的一般信息及实验室检查等相关指标,通过SPSS 23.0软件对收集的数据进行处理与分析。结果HIV感染者/AIDS患者急性肾损伤的发生率为4.3%,慢性肾脏病的发生率为14.0%。年龄、CD4(+)T细胞计数、是否服用抗菌药物、是否患有尿路感染是HIV感染者/AIDS患者合并急性肾损伤的影响因素(P均<0.05)。年龄、性别、CD4(+)T细胞计数、是否服用抗菌药物、是否患有尿路感染是HIV感染者/AIDS患者合并慢性肾脏病的影响因素(P均<0.05)。结论HIV感染者/AIDS患者的肾损伤发生率高,临床医师应及早对肾损伤予以重视,做到早预防,早发现,早治疗。
Objective Through a retrospective survey of HIV/AIDS patients who were hospitalized in the Sixth People’s Hospital of Xinjiang Uygur Autonomous Region from January to August 2018,this study was designed to investigate the incidence,clinical features and influencing factors of renal injury(acute kidney injury,chronic kidney disease)and provide strong evidence for clinical diagnosis and treatment of renal injury in HIV/AIDS patients in Xinjiang.Methods A retrospective survey was conducted on renal injury in HIV/AIDS patients and relevant indicators of patients such as general information and laboratory examination were collected.SPSS 23.0 statistical software was used to process and analyze the collected data.Results In HIV/AIDS patients,the incidence of acute kidney injury was 4.3%and the incidence of chronic kidney disease was 14.0%.Age,CD4(+)T cell count,presence or absence of antimicrobial use and urinary tract infection were the influencing factors for HIV/AIDS patients with acute kidney injury(P<0.05).Age,sex,CD4(+)T cell count,presence or absence of antimicrobial use and urinary tract infection were the influencing factors for HIV/AIDS patients with chronic kidney disease(P<0.05).Conclusions The incidence of renal injury in patients with HIV/AIDS is high.Clinicians should pay attention to renal injury as soon as possible,so as to achieve early prevention,early detection and early treatment.
作者
钱倩倩
卢志武
迪里夏提·阿里木
杜丹丹
祖力米拉
舒占钧
QIAN Qian-qian;LU Zhi-wu;Dilixiati·Alimu;DU Dan-dan;Zulimila;SHU Zhan-jun(Infection Department,Sixth People’s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830011,China;不详)
出处
《传染病信息》
2021年第2期144-147,共4页
Infectious Disease Information
基金
新疆维吾尔自治区自然科学基金(2017D01C168)
新疆维吾尔自治区第六人民医院院内课题(QLY-kyht-2017-001)。
关键词
艾滋病
急性肾损伤
慢性肾脏病
影响因素
AIDS
acute kidney injury
chronic kidney disease
influencing factor
