胃肠外科手术后急性肾损伤病因分析

Analysis of Causes of Postoperative Acute Kidney Injury in Patients with Gastrointestinal Surgery

目的探讨胃肠外科手术后急性肾损伤(acute kidney injury,AKI)的临床危险因素.方法对昆明医科大学第一附属医院及云南省第一人民医院胃肠外科近2 a收治的手术患者进行回顾性分析.结果胃肠外科手术后AKI发病率为2.1%.单因素分析筛选,又经多因素回归分析显示:年龄、急诊手术、严重感染与AKI的发生明显相关,结论 AKI是腹部外科手术后常见的并发症,年龄>65岁、急诊手术、重症感染是AKI发生的危险因素.

Objective To analyze the risk factors of acute kidney injury （AKI） in the patients undergoing gastrointestinal surgical procedures.Methods We retrospectively analyzed all gastrointestinal surgical patients nearly 2 years who were in the first affiliated hospital of Kunming Medical University and the first people＇s hospital of Yunnan province.Results The incidence of AKI was 2.1%.Univariate analysis and multivariate analysis indicated that： age〉65 years, emergency operation and serious infection were significantly related with the incidence of AKI.Conclusion AKI is a common complication after gastrointestinal surgical procedures.This study showed that age〉65 years, emergency operation, serious infection were risk factors most likely associated with postoperative AKI development.