慢性病患者的胃肠道血管病:一个匹配的病例对照研究
Sarah Azancot1, Xavier Dray2, Parastou Moshiri3
1Sorbonne University, Nephrology Department, APHP, Tenon Hospital, Paris, France.
Clinics and research in hepatology and gastroenterology
|August 23, 2024
概括
患有慢性病 (CKD) 和胃肠道动脉瘤 (GIA) 的患者表现出心血管风险增加和血管病. 在CKD患者中,小肠GIA与较高的发病率有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 胃肠病学 胃肠病学
- 血管医学 血管医学
背景情况:
- 慢性病 (CKD) 是胃肠道动脉瘤 (GIA) 的已知的危险因素.
- 了解患有GIA的CKD患者的临床形状对于风险分层和管理至关重要.
研究的目的:
- 为了将GIA的CKD患者的特征与没有GIA的患者进行比较.
- 调查小肠干扰在GIA的CKD患者中的患病率和影响.
主要方法:
- 在2012-2022年间接受内镜检查的CKD患者的回顾性分析.
- 包括一个GIA阳性 (GIA+) 组和一个匹配的GIA阴性 (GIA-) 控制组.
- 小肠GIA (SB+) 与没有小肠GIA (SB-) 的子组分析.
主要成果:
- 与对照组相比,患有GIA的CKD患者的活跃吸烟率 (36.3%) 和外周动脉疾病 (29.1%) 较高.
- 小肠GIA在GIA+患者中的23.6%存在,十二指肠参与是常见的.
- 比起SB-组,SB+组的内镜检查,静血手术和住院治疗次数显著增加.
结论:
- 患有GIA的CKD患者存在心血管风险因素增加和血管脏病.
- 胃肠道动脉瘤,特别是在小肠道,有助于增加CKD患者的发病率.
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