GWTG-HF 评分、Hct、Lac 对 AKI 患者 CRRT 早期低血 压的预测价值
Journal: Frontier Forum of Clinical Medicine DOI: 10.32629/ffcr.v4i2.19984
Abstract
目的：探究急性肾损伤(AKI)患者连续性肾脏替代治疗(CRRT)过程中GWTG-HF评分、红细胞压积(Hct)、乳酸(Lac)对早期低血压的预测价值。方法：收集2015年—2025年期间于我院进行CRRT治疗的AKI患者在上机1h内按是否发生低血压分为低血压组和正常组,将两组的临床数据采用单因素及多因素Logistic回归,分析与CRRT早期低血压发生有关的影响因素,并评估GWTG-HF评分、Hct、Lac独立及联合对CRRT早期低血压的预测价值。结果：低血压组的GWTG-HF评分、Lac值高于正常组,低血压组的Hct值低于正常组,差异有统计学意义(P<0.05)。GWTG-HF评分的受试者工作特征(ROC)曲线下面积(AUC)=0.636；乳酸的AUC=0.895；Hct的AUC=0.170；GWTG-HF评分、Hct、Lac联合对CRRT早期低血压的AUC=0.949,差异有统计学意义(P<0.05)。结论：GWTG-HF评分、Lac是CRRT早期低血压独立的危险因素,Hct是独立的保护因素。GWTG-HF评分、Hct、Lac联合对CRRT早期低血压的预测价值胜于单一指标。
Keywords
AKI治疗；CRRT早期低血压；GWTG-HF评分；预测指标
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