[1]张 玙,李元海,鲁显福,等.老年营养风险指数与心脏瓣膜手术患者术后急性肾损伤的相关性研究[J].医学信息,2023,36(21):102-105.[doi:10.3969/j.issn.1006-1959.2023.21.023]
 ZHANG Yu,LI Yuan-hai,LU Xian-fu,et al.Correlation Between Geriatric Nutritional Risk Index and Postoperative Acute Kidney Injury in Patients Undergoing Cardiac Valve Surgery[J].Journal of Medical Information,2023,36(21):102-105.[doi:10.3969/j.issn.1006-1959.2023.21.023]
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老年营养风险指数与心脏瓣膜手术患者术后急性肾损伤的相关性研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年21期
页码:
102-105
栏目:
论著
出版日期:
2023-11-01

文章信息/Info

Title:
Correlation Between Geriatric Nutritional Risk Index and Postoperative Acute Kidney Injury in Patients Undergoing Cardiac Valve Surgery
文章编号:
1006-1959(2023)21-0102-04
作者:
张 玙李元海鲁显福
(1.安徽医科大学第一附属医院高新院区麻醉科,安徽 合肥 230022;2.安徽医科大学附属巢湖医院麻醉科,安徽 巢湖 238000)
Author(s):
ZHANG YuLI Yuan-haiLU Xian-fuet al.
(1.Department of Anesthesiology,High tech Hospital of the First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China; 2.Department of Anesthesiology,Chaohu Hospital of Anhui Medical University,Chaohu 238000,Anhui,China)
关键词:
老年营养风险指数心脏瓣膜手术急性肾损伤
Keywords:
Geriatric nutritional risk indexHeart valve surgeryAcute kidney injury
分类号:
R654.2
DOI:
10.3969/j.issn.1006-1959.2023.21.023
文献标志码:
A
摘要:
目的 探讨老年营养风险指数(GNRI)对单纯心脏瓣膜手术患者术后发生急性肾损伤(AKI)的评估价值。方法 回顾性纳入2018年3月-2019年9月于安徽医科大学第一附属医院(高新院区)行单纯心脏瓣膜手术的老年患者210例,收集患者基本资料、病史信息、生化指标、血常规、计算GNRI,根据术后48 h内是否发生AKI分为AKI组(14例)和非AKI组(196例),采用Logistic回顾性分析影响患者术后AKI发生的因素。结果 210例患者中14例患者术后48 h内出现AKI(6.67%);AKI组与非AKI组性别、BMI、高血压、糖尿病、心力衰竭、体外循环时间比较,差异无统计学意义(P>0.05);两组年龄、术前红细胞计数、血红蛋白、eGFR、GNRI比较,差异均有统计学意义(P<0.05);多因素Logistic回顾性分析显示,术前GNRI、血红蛋白、红细胞计数、eGFR及年龄是单纯心脏瓣膜手术后发生AKI的独立预测因素。结论 GNRI是心脏瓣膜手术患者术后发生AKI的独立风险因素,其中低GNRI患者发生AKI的风险更高。
Abstract:
Objective To investigate the value of geriatric nutritional risk index (GNRI) in evaluating acute kidney injury (AKI) after cardiac valve surgery.Methods The clinical data from 210 patients who underwent heart valve surgery in the First Affiliated Hospital of Anhui Medical University (High-tech District) from March 2018 to September 2019 were enrolled retrospectively. The basic data, medical history information, biochemical indicators, blood routine, and GNRI were collected. According to whether AKI occurred within 48 hours after surgery, the patients were divided into AKI group (14 patients) and non-AKI group (196 patients). Logistic retrospective analysis was used to analyze the factors affecting the occurrence of postoperative AKI in patients.Results Among 210 patients, 14 patients (6.67%) developed AKI within 48 hours after surgery. There was no significant difference in gender, BMI, hypertension, diabetes, heart failure and cardiopulmonary bypass time between the AKI group and the non-AKI group (P>0.05). There were significant differences in age, preoperative red blood cell count, hemoglobin, eGFR and GNRI between the two groups (P<0.05). Multivariate logistic regression analysis showed that preoperative GNRI, hemoglobin, red blood cell count, eGFR and age were independent predictors of AKI after simple heart valve surgery.Conclusion GNRI is an independent risk factor for postoperative AKI in patients with heart valve surgery, and the lower the GNRI, the higher the risk of postoperative AKI.

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更新日期/Last Update: 1900-01-01