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Stroke Merged With Chronic Renal Insufifciency Risk Factors Survey

Posted on:2013-02-24Degree:MasterType:Thesis
Country:ChinaCandidate:L YangFull Text:PDF
GTID:2234330374494704Subject:Internal Medicine
Abstract/Summary:PDF Full Text Request
Objective: Understanding the case of stroke (stroke) in patients with renal insufficiency,and to explore the relationship between the incidence of stroke, renal insufficiency inpatients with stroke risk factors. Methods: A retrospective analysis from January2010toDecember2011admitted to the First Affiliated Hospital of Xinjiang Medical University,Department of Neurology,486cases of first hospital admission of stroke patients withcomplete medical records. Observation of the patient’s gender, age, history of essentialhypertension, type2diabetes, hyperuricemia, dyslipidemia, systolic blood pressure,diastolic blood pressure, triglycerides, cholesterol, high density lipoprotein, LDL, bloodwhite protein, blood urea nitrogen, creatinine, uric acid, glycosylated serum protein,homocysteine; kidney diet improved test "(modification of diet of in renal disease. theMDRD) method to estimate glomerular filtration rate (estimatedthe glomerular filtrationrates eGFR); in accordance with the guidance of patients with kidney disease quality oflife (kidney isease outcome quality initiative, the K/DOQI) in renal staging of chronicrenal insufficiency criteria for GFR<60mL·min-1·(1.73m2)-1.Logistic regressionanalysis of risk factors affecting the decline in GFR (P<0.05). Results: This information,121cases of stroke patients with a GFR<60mL·min.-1(1.73m2).-1;previoushypertension, dyslipidemia, hyperuricemia, thickening of the carotid intima-carotid arteryplaque, age, weight, systolic blood pressure, total blood cholesterol,albumin, ureanitrogen,serum creatinine, serum uric acid, fasting glucose, fibrinogen, the differenceswere statistically significant (P<0.05). Logistic regression analysis indicated that women,systolic blood pressure, cholesterol, dyslipidemia, serum albumin, serum uric acid, fastingglucose, homocysteine, mild neurological dysfunction, moderate nervedysfunction is anindependent risk of renal dysfunction factors. Conclusions: Higher incidence of stroke inpatients with renal insufficiency, women,systolic blood pressure, cholesterol, dyslipidemia, serum albumin, serum uric acid,fasting glucose, homocysteine, mild neurological dysfunc-tion, moderate neurological dysfunction renalan independent risk factor for dysfunction.China the high incidence of stroke in patients withchronic renal insufficiency may affectthe incidence of stroke, type, suggesting thatchronic renal insufficiency is the importantfactor to judge the new prognosis of stroke patients.
Keywords/Search Tags:cerebrovascular accident, renal insufficiency, risk factors
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