感染性休克患者发生AKI的危险因素分析

Risk Factors for AKI in Septic Shock Patients

目的分析感染性休克患者发生AKI(急性肾损伤)的危险因素。方法从患有感染性休克发生AKI的患者中随机的选择45名作为实验组,再从患有感染性休克未发生AKI的患者中随机选择45名作为对照组,该90例患者住院时间为2017年8月至2018年7月,采用单因素分析的方法,对实验组和对照组患者的相关危险因素进行分析和总结。结果在患者住院一天后,肾小球滤过率(GRF)、中心静脉压(CVP)、输血史、血小板水平、造影剂的使用上都有较大的数字上的差异(P<0.05)。结论患者的肾小球滤过率(GRF)、中心静脉压(CVP)、尿素氮(BUN)、血小板水平等数字指标为感染性休克致AKI的危险因素。

Objective To analyze the risk factors of A K I(acute kidney injury)in patients with septic shock.Methods Patients with septic shock occurs AKI in the random selection of 45 as experimental group,and then from the patients with septic shock is not AKI randomly selected as control group,45 of the 90 patients hospitalized for during August 2017 to July 2018,adopt the method of single factor analysis and related risk factors in the experimental group and the control group patients were analyzed and summarized.Results There were significant differences in glomerular filtration rate(GRF),central venous pressure(CVP),blood transfusion history,platelet level,and contrast agent use one day after admission(P<0.05).Conclusion Glomerular filtration rate(GRF),central venous pressure(CVP),blood urea nitrogen(BUN),blood transfusion history,platelet level,and contrast agent use were risk factors for AKI induced by septic shock.