不同分型狼疮性肾炎的潜在临床预测指标
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四川省卫计委科研课题


Potential clinical predictive factors of different types of lupus nephritis
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    【摘要】目的 探讨不同分型狼疮性肾炎的潜在临床预测指标。方法 纳入2006年1月1日~2017年1月1日期间我院狼疮性肾炎患者243例, 于我院肾脏病理数据库提取临床资料, 对比不同分型之间各参数, 分析各参数与不同分型相关性, 通过Logistic回归法确定危险因素。结果 各分型的性别组成、临床表现及家族史无差异(P>005);24小时尿蛋白定量、MAP和白蛋白的差异有统计学意义(P<005);新月体型贫血最严重, 且Cr最高, V型Cr最低。相关性分析表明尿蛋白定量与IV型、MAP与V型之间呈正相关;贫血与IV型呈负相关, Cr与新月体型和IV型之间呈正相关。大量蛋白尿为III型与IV+V型的危险因素, 低蛋白血症为III+V型和IV+V型的危险因素, 贫血为III+V型的危险因素;肌酐升高与MAP升高均为V型的危险因素。大量蛋白尿和低蛋白血症分别为IV+V型与III+V型的独立危险因素。结论 大量蛋白尿、高血压、贫血和Cr升高分别与IV型、V型、IV型和新月体型关系密切。大量蛋白尿和低蛋白血症分别为IV+V型与III+V型的独立危险因素。临床上关注这些指标有助于预测狼疮性肾炎分型。

    Abstract:

    【Abstract】Objective To investigate potential prediction factors of different types of lupus nephritis. Methods Clinical data of patients diagnosed as lupus nephritis (LN) by renal pathology between January 1, 2006 to January 1, 2017 were collected from our renal pathology database. Each variable was compared among different types of LN. Correlation was calculated between types of LN and each variable. Logistic multi regression analysis was used to identify significant risk factors.Results 243 patients were enrolled, including 206 females (848%). Gender, clinical manifestation and family history had no difference among subtypes. 24hour urinary protein, blood pressure and albumin were different among types.LN had highest serum creatinine level .Correlation analysis indicated increased urinary protein and anemia were correlated with type IV, increased blood pressure was correlated with type V, increased creatinine was correlated with cresentic LN and type IV. Increased urinary protein and hypoalbuminemia were independent risk factors of type IV+V and III+V. Conclusion Increased urinary protein, hypertension, anemia and increased creatinine are related to type IV, V, IV and cresentic LN, respectively. Increased urinary protein and hypoalbuminemia are independent risk factors of type IV+V and III+V. Focusing on these variables is helpful for predicting subtypes of lupus nephritis

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  • 在线发布日期: 2018-03-05
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