摘要
目的 :探讨超声测定肾动脉阻力指数(RRI)在脓毒症合并急性肾损伤(AKI)患者中的作用。方法 :选取2014年3月~2017年2月ICU收治的危重患者中确诊为脓毒症的150例作为观察对象,根据KDIGO标准分为四组,未发生AKI的51例作为A组,AKI 1期的43例作为B组,AKI 2期的35例作为C组,AKI 3期的21例作为D组。通过超声测定患者的RRI,免疫比浊法测定Scys C和Ucys C,ELISA法测定SCr。对所有数据进行统计分析。结果 :A组第1d RRI、Scys C、Ucys C及SCr与B组均无明显差别,第2、3d则存在明显差别;C组第1、2、3d RRI、Scys C、Ucys C及SCr均明显高于A组和B组;D组第1、2、3d RRI、Scys C、Ucys C及SCr均明显高于其他三组;相关分析显示,RRI与Scys C、Ucys C及SCr各个时间均呈正相关。结论 :超声测定可有效的反应脓毒症合并AKI患者肾损害程度。
Objective to investigate the role of renal artery resistance index(RRI) in patients with sepsis complicated with acute kidney injury(AKI). Method Critically ill patients diagnosed from March 2014-2017 year in February from ICU in 150 cases of sepsis as observation object, according to the KDIGO standards are divided into four groups, 51 cases without AKI as group A, 43 cases of AKI 1 as B group, 35 cases of AKI 2 as C group, 21 cases of AKI the 3 stage is the D group. The RRI patients were determined by ultrasound, Scys C and Ucys C by immunoturbidimetric assay, determination of SCr. of all the data were analyzed by ELISA. Result The group A 1 D RRI, Scys C, Ucys C and SCr and B group were no significant difference, the 2、3 d was significantly different; group C 1、2、3 d RRI, Scys C, Ucys C and SCr were significantly higher than that in A group and B group D; group 1、2、3 d RRI, Scys C, Ucys C and SCr were significantly higher than the other three groups; correlation analysis showed that RRI and Scys C, Ucys C and SCr each time were positively correlated. Conclusion Ultrasonography can effectively reflect the degree of renal damage in sepsis patients complicated with AKI.
出处
《湖南师范大学学报（医学版）》
2018年第3期116-119,共4页
Journal of Hunan Normal University(Medical Sciences)
关键词
超声
肾动脉阻力指数
脓毒症
急性肾损伤
ultrasound
renal arterial resident index
metastasizingsepticemia
acute kidney injury
