血管造形术后对比诱导性脏病的发生率和危险因素:一项观察性回顾性研究
Juliana Peres1, Jeferson Freitas Toregeani2, Amanda Cristina Pohl1
1Centro Universitário Fundação Assis Gurgacz - FAG, Cascavel, PR, Brasil.
Jornal vascular brasileiro
|January 23, 2026
概括
对比诱导性病 (CIN) 影响了血管塑造术后10.5%的患者,糖尿病是主要的危险因素. 监测是缓解CIN的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 对比诱导性病 (CIN) 是使用含的对比介质后的一个显著并发症.
- CIN可能导致急性损伤,增加患者的发病率和死亡率,以及需要替代疗法.
研究的目的:
- 为了确定接受血管塑性手术的患者中CIN的发生率.
- 为了确定与CIN相关的因素,包括对比度量,手术持续时间和患者的并发症.
主要方法:
- 对305名接受血管塑性手术的患者进行了回顾性分析.
- 在手术前和后测量了血清肌素和膜过率 (GFR).
- 使用后勤回归分析来确定CIN的独立预测因素.
主要成果:
- CIN的发生率为10.5% (32/305名患者).
- 患有CIN的患者经历了GFR显著下降和肌素水平的增加.
- CIN与中风,外围动脉封闭性疾病,糖尿病 (DM),慢性病 (CKD) 和心力衰竭 (HF) 有显著的关联.
结论:
- CIN发生在10.5%的患者中,DM,CKD和HF被确定为关键风险因素.
- 这些发现强调了警监测的重要性,以尽量减少CIN的影响并改善患者的治疗结果.
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