急性失代偿性心功能衰竭时急性肾损伤发生率及影响因素分析

The Incidence of Acute Kindey Injury in Acute Decompensated Heart Failure and the Influencing Factors Analysis

目的探讨急性失代偿性心功能衰竭时急性肾损伤的发生率以及影响因素.方法回顾分析96例急性失代偿性心功能衰竭患者的临床资料,分析发生急性肾损伤的人数及发生率,并以此分为急性肾损伤组和非肾损伤组,分析两组年龄、性别、收缩压、肌钙蛋白、左室射血分数、血红蛋白、原发病等因素.结果 96例ADHF患者中,发生AKI者共74例(为AKI组),占74%,死亡人数12人,死亡率12.5%;收缩压升高、肌钙蛋白升高、左室射血分数下降为ADHF发生AKI的因素.原发病为冠心病、高血压性心脏病及糖尿病的ADHF发生AKI的可能性大.结论在各种急性状态下,发生急性失代偿性心功能衰竭中AKI的发生率较高,其影响因素较多,需要临床医师采取针对性治疗.

Objective To discuss the incidence of acute kindey injury（AKI）in acute decompensated heart failure（ADHF）and the influencing factors.Methods We retrospectively analyzed the clinical data of 96 ADHF patients,and analyzed the incidence of AKI,and divide the patients into AKI group and no AKI group.Then we analyzed the age,sex,systolic pressure,caidiac troponin,left ventricular ejection fraction,hemoglobin and primary disease of patients in the two groups.Results In 96 ADHF patients,AKI was found in 74 patients（74%）,and death was found in 12 cases（12.5%）.The rising of systolic pressure and caidiac troponin,and the droping of left ventricular ejection fraction were the influencing factors of AKI in ADHF.Coronary heart disease,hypertensive heart disease and diabetes had higher possibility of AKI in ADHF.Conclusions In various acute states,the occurence rate of AKI in ADHF is higher and the influence factor is more,it is helpful for clinical doctor to adopt the treatment.