论文部分内容阅读
目的:探讨冠状动脉(冠脉)造影与肾动脉狭窄(RAS)发生率的关系。方法:采用前瞻性设计,在冠脉造影的患者中同时进行选择性双侧肾动脉造影,对临床资料和 RAS之间的关系进行单变量和多变量 Logistic回归分析。结果: 402 例冠脉造影患者中有 377 例(93. 8%)同时行选择性双侧肾动脉造影, RAS 者 71 例(18.8%),其中轻度狭窄(<50%)者39例(10.3%),明显狭窄(>50%)者32例(8.5%),其中双侧明显狭窄者17例(4.5%)。明显RAS单变量分析,年龄、颈动脉斑块形成、糖尿病、高血压、肾功能不全、严重冠脉病变是 RAS的预测因素。多变量回归分析,年龄、高血压、严重冠脉病变是 RAS的独立预测因素。结论:冠脉造影尤其冠心病患者RAS发生率高,在冠心病患者行冠脉造影的同时应常规进行肾动脉造影,以便及早发现RAS。
Objective: To investigate the relationship between coronary artery (coronary) angiography and the incidence of renal artery stenosis (RAS). Methods: A prospective design was used to perform simultaneous bilateral renal artery angiography in patients undergoing coronary angiography. Univariate and multivariate Logistic regression analyzes were performed on the relationship between clinical data and RAS. Results: Among the 402 patients with coronary angiography, 377 (93.8%) underwent selective bilateral renal artery angiography at the same time. There were 71 (18.8%) patients with RAS and 39 patients with mild stenosis (<50% 10.3%), 32 cases (8.5%) with obvious stenosis (> 50%), 17 cases (4.5%) with obvious bilateral stenosis. Significant RAS univariate analysis, age, carotid plaque formation, diabetes mellitus, hypertension, renal insufficiency, and severe coronary artery disease were predictors of RAS. Multivariable regression analysis, age, hypertension, and severe coronary artery disease were independent predictors of RAS. Conclusion: Coronary angiography, especially coronary heart disease patients with high incidence of RAS, coronary angiography in patients with coronary angiography should be routine routine renal angiography in order to detect early RAS.