老年高血压患者单纯性肾囊肿的影响因素分析

Analysis of influencing factors of simple renal cysts in elderly patients with hypertension

目的:探讨老年高血压患者单纯性肾囊肿(SRC)的影响因素,为临床防治提供新思路。方法:选取2017年5月-9月参与老年人体检的高血压患者2888例,收集患者一般资料、实验室指标水平及超声结果等。采用t检验、χ^2检验、二元logistic逐步回归分析SRC发生的相关因素。结果:SRC患者男性占比、体重指数(BMI)、血尿素氮、肌酐、肾小球滤过率(eGFR)、尿酸、总胆固醇、低密度脂蛋白、高密度脂蛋白等指标水平均高于无SRC,差异有统计学意义(P<0.05)。二元logistic逐步回归分析显示,高尿酸血症、eGFR、男性是SRC的危险因素。结论:老年高血压患者SRC的影响因素较多,其中高尿酸血症、男性和eGFR是SRC发生的独立危险因素。

Objective:To explore the influencing factors of simple renal cyst(SRC)in elderly patients with hypertension,and to provide new ideas for clinical prevention and treatment.Methods:From May to September 2017,2888 elderly patients with hypertension who participated in physical examination were enrolled,the general data of the patients,the level of laboratory indexes and the results of ultrasound were collected.The T test,χ^2 test and binary logistic stepwise regression analysis were used to analyze the related factors of simple renal cysts.Results:The proportion of male patients with simple renal cysts,BMI,blood urea nitrogen,creatinine,glomerular filtration rate(eGFR),uric acid,total cholesterol,low-density lipoprotein and high-density lipoprotein levels were higher than those without Simple renal cyst,the differences were statistically significant(P<0.05).Binary logistic stepwise regression analysis showed that hyperuricemia,eGFR,and male were the risk factors of simple renal cyst.Conclusion:There are many influential factors of simple renal cysts in elderly patients with hypertension,hyperuricemia,men and eGFR are independent risk factors for SRC.