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急性肾损伤RIFLE与AKIN标准在重度烧伤患者中的对比研究 被引量:7

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摘要 目的:比较急性肾损伤(AKI)诊断的RIFLE标准与急性肾损伤网络工作小组(AKIN)诊断标准在成人重度烧伤患者中的应用。方法:收集116例重度烧伤成人患者的临床资料.分别采用RIFLE标准与AKIN标准对重度烧伤患者的AKI发生率及其严重程度进行分期。结果:AKIN标准比RIFLE标准诊断出更多的AKI患者(23.3%vs12.9%,P=0.04)。主要表现为AKIN标准中Ⅰ期比RIFLE标准中对应的风险期的患者更多(17.9%vs6.9%,P=0.01),但AKIN标准中Ⅱ期和Ⅲ期患者,与RIFLE标准中对应的损伤期和衰竭期的差异无统计学意义(P〉0.05)。多因素Logistic回归分析提示年龄(OR,1.51;95%CI,1.06~2.15,P=0.02)和烧伤面积(OR,2.13;95%CI,1.24—3.66,P=0.006)是烧伤后AKI的独立危险因素。结论:与RIFLE标准相比,AKIN标准在诊断重度成人烧伤患者AKI的发生上更敏感,主要对早期肾损伤的发现更为敏感。年龄和烧伤面积是烧伤后AKI的独立危险因素。
出处 《实用医学杂志》 CAS 北大核心 2013年第19期3191-3193,共3页 The Journal of Practical Medicine
基金 广东省医学科研基金项目(编号:B2012343) 广东省佛山市科技发展专项(编号:201208227)
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参考文献14

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