在脑血管造影后,糖尿病和术后尿之间的关联
Xiwen Chen1, Shaoli Yao2, Cheng Peng1
1Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Neurourology and urodynamics
|October 3, 2023
概括
糖尿病增加了脑血管造影后手术后尿的风险. 控制血糖水平,特别是对于HbA1c> 6%的患者,可以减少这种并发症.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 手术后尿 (PUR) 是各种手术后的常见并发症.
- 糖尿病是一种普遍的并发症,可能会影响手术的结果.
研究的目的:
- 为了研究糖尿病与脑血管造影后PUR发病率之间的关联.
- 在接受脑血管造影的患者中识别PUR的危险因素.
主要方法:
- 对932名接受脑血管造影的患者进行了回顾性分析.
- 多变量逻辑回归用于评估糖尿病和PUR之间的相关性.
- 评估人口统计数据,并发症和实验室结果.
主要成果:
- 在患有糖尿病的患者中,PUR发生在40.8%的患者中,而没有糖尿病的患者中,PUR发生在30.3%的患者中.
- 糖尿病是独立与更高的PUR风险相关的.
- 高血糖血红蛋白A1c (HbA1c) 水平与增加PUR风险相关.
结论:
- 糖尿病是脑血管造影后PUR的独立风险因素.
- 患有HbA1c水平> 6%的患者患PUR的可能性更大.
- 血糖的临床管理可以减轻脑血管造影后PUR发生率.
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