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冠状动脉夹层与肾囊肿的相关性及共同发病机制

The Correlation and Copathogenesis of Coronary Aortic Sandwich and Renal Cysts.

作者信息

Zhang Huawei, Gong Liang, Wu Zhinan, Luo Xuefen

机构信息

Longyan First Affiliated Hospital of Fujian Medical University, Cardiac and Vascular Surgery, Longyan 364000, Fujian, China.

Longyan First Affiliated Hospital of Fujian Medical University, Ultrasonography Dept, Longyan 364000, Fujian, China.

出版信息

Evid Based Complement Alternat Med. 2022 Aug 10;2022:5483155. doi: 10.1155/2022/5483155. eCollection 2022.

Abstract

OBJECTIVE

To determine the correlation for aortic occlusion and hydronephrosis and the pathogenesis of copathogenesis.

METHODS

A retrospective census was established to probe the correlation with renal cysts by gathering aortic coarctation details concerning generic symptoms, diabetes, and liver and kidney profiles from 244 hospitalized aortic clinographers from April 2014 to December 2021 (study category, SG category), 150 hypertensive clients with primary hypertension attending our institution in the same period (matched category, MG category), and 150 able-bodied volunteers (control category, CG category).

RESULTS

(1) Intercategory discrepancies in regard to aortic occlusion, diabetic malfunction, and kidney and liver abnormality were neither mutually nor predominantly measured ( > 0.05); (2) 244 enrolled SG for aortic occlusion and 150 CG for aortic occlusion were categorized by whether or not aortic occlusion was manifested, and the correlation between maternal age, gender, diabetic malfunction, and kidney and liver abnormality and renal cysts was estimated. The correlation of clogged aorta was demonstrated by a multifactorial logistic regression with gender and the presence of renal cysts ( < 0.05); (3) the correlation of clogged aorta was demonstrated by a multifactorial logistic regression with renal cysts as an independent risk factor for clogged aorta (95% CI: 1.028-10.291; = 0.031).

CONCLUSION

As renal cysts are an autonomous risk of aortic coarctation, it is recommendable to strengthen clinical investigations such as monitoring of clinical blood pressures in kidney cyst recipients to assess their aortic function in order to evaluate their prognosis and minimize the prevalence of aortic coarctation.

摘要

目的

确定主动脉缩窄与肾积水的相关性以及共同发病机制。

方法

通过收集2014年4月至2021年12月期间244名住院主动脉疾病临床医生(研究组,SG组)的主动脉缩窄相关详细信息,包括一般症状、糖尿病以及肝肾指标;同期在本机构就诊的150名原发性高血压患者(匹配组,MG组);以及150名健康志愿者(对照组,CG组),进行回顾性普查以探究与肾囊肿的相关性。

结果

(1)主动脉缩窄、糖尿病功能障碍以及肝肾异常在组间差异既无相互关联也无显著差异(>0.05);(2)将244名纳入研究的主动脉缩窄SG组和150名主动脉缩窄CG组按是否表现出主动脉缩窄进行分类,并评估产妇年龄、性别、糖尿病功能障碍以及肝肾异常与肾囊肿之间的相关性。通过多因素逻辑回归分析显示主动脉缩窄与性别及肾囊肿的存在具有相关性(<0.05);(3)通过多因素逻辑回归分析显示肾囊肿是主动脉缩窄的独立危险因素,主动脉缩窄与肾囊肿具有相关性(95%CI:1.028 - 10.291;=0.031)。

结论

由于肾囊肿是主动脉缩窄的自主危险因素,建议加强临床检查,如对肾囊肿患者进行临床血压监测,以评估其主动脉功能,从而评估预后并降低主动脉缩窄的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1830/9385302/b66ca49ae016/ECAM2022-5483155.001.jpg

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