慢性肾脏病中的中风
Stroke in chronic kidney disease.
作者信息
Krishna P Rama, Naresh S, Krishna G S R, Lakshmi A Y, Vengamma B, Kumar V Siva
机构信息
Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, India.
出版信息
Indian J Nephrol. 2009 Jan;19(1):5-7. doi: 10.4103/0971-4065.50672.
Abstract
Chronic kidney disease (CKD) is associated with a higher risk for stroke in studies from developed countries. This prospective study was conducted to study the clinical profile, management, and outcome of stroke in patients of chronic kidney disease who had been admitted in our institute during the period from December 2004 to December 2006. A higher incidence of stroke was found in men and in the fifth decade of life. Hypertension and diabetes were found in 88.8 and 48.1% of the patients respectively. CKD was detected for the first time during stroke evaluation in 55.5% of the patients. Stroke was due to cerebral infarction in 48.14% and due to cerebral hemorrhage in 40.7% of the patients. Surgical intervention was needed in 14.8% of all patients while stroke was managed medically in the rest. Over 70% of the patients were discharged after they showed improvement in the symptoms.
摘要
在发达国家的研究中，慢性肾脏病（CKD）与中风风险较高相关。本前瞻性研究旨在探讨2004年12月至2006年12月期间在我院住院的慢性肾脏病患者中风的临床特征、治疗及预后。研究发现，男性及五十岁年龄段人群中风发病率较高。分别有88.8%和48.1%的患者患有高血压和糖尿病。55.5%的患者在中风评估期间首次检测出CKD。48.14%的患者中风由脑梗死引起，40.7%由脑出血引起。14.8%的患者需要手术干预，其余患者接受药物治疗。超过70%的患者症状改善后出院。
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