髋关节置换术后急性肾损伤危险因素的研究进展

Risk factors for acute kidney injury after hip replacement

髋关节置换术(hip replacement,HA)是股骨颈骨折和髋关节疼痛患者改善关节功能、缓解关节疼痛、提高生活质量的有效治疗方法[1]。而急性肾损伤(acute kidney injury,AKI)是HA术后常见的并发症之一,是由肾功能快速减退而导致的临床综合征,伴有水、电解质以及酸碱平衡失调。HA术后AKI发生的危险因素是多种多样的,例如年龄、性别、BMI、术前肾功能不全、合并高血压、糖尿病等,以及术中及术后患者的生理状况。为提高临床医师对HA术后AKI的认识,笔者归纳了AKI发生的危险因素,以指导临床早期干预,改善患者预后。

Acute kidney injury( AKI) is one of the common complications after hip replacement. Even mild AKI may lead to chronic kidney disease( CKD) or accelerate its progression. It also increases hospital stay, medical costs and mortality. This paper reviewed the research progress of risk factors for AKI after hip replacement, providing theoretical basis for the early diagnosis and treatment of postoperative acute kidney injury.