患有性综合征的儿童急性损伤的决定因素:一项前性观察性研究
Nimisha Mohanty1, Anil Kumar Goel1, Manas R Sahoo1
1Pediatrics, All India Institute of Medical Sciences, Raipur, Raipur, IND.
Cureus
|February 4, 2025
概括
患有性综合征 (NS) 的儿童的急性损伤 (AKI) 与高血压和药物暴露等因素有关. 补水状态和特定的尿液标志物也显著预测了儿科NS患者的AKI发展.
科学领域:
- 儿科脏病学 儿科脏病学
- 腎臟醫學 腎臟醫學
- 临床护理 儿科 临床护理 儿科
背景情况:
- 性综合征 (NS) 是一种常见的儿童病,具有复发性模式.
- 急性损伤 (AKI) 是患有异常性NS的儿童日益增加的并发症.
- 关于儿童NS中AKI风险因素的文献有限,特别来自印度.
研究的目的:
- 确定在患有NS的儿童中导致AKI的危险因素.
- 评估水分状态及其与儿科NS中AKI发育的关联.
- 调查特定的尿液标志物,表明阿尔多素水平及其AKI关联.
主要方法:
- 一项对57名被诊断患有NS的儿童 (3个月-15岁) 的纵向研究.
- 每日使用KDIGO指南进行AKI监测;6个月后续.
- 使用逻辑回归进行风险因素分析;p值≤0.05被认为是显著的.
主要成果:
- 56.14%的儿童患有AKI,主要是2期和3期.
- 高血压 (45.61%),毒药物暴露 (73.68%) 和摄入不足的水是显著的危险因素.
- 高尿度,尿中K+指数升高,FeNa与AKI显著相关.
结论:
- 传统的风险因素与儿童NS中的AKI有关.
- 脏低和阿尔多激素活性 (高尿度,尿K+指数,FeNa) 的标志物与AKI有显著的联系.
- 早期识别这些风险因素对于管理NS儿童的AKI至关重要.
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