主动脉夹层发生风险的危险因素分析  

Study on the analysis of risk factors for aortic dissection

作　　者：王晶颖 李枭雄 刘佳[2] 刘晶晶[3] 王庆 WANG Jing-ying;LI Xiao-xiong;LIU Jia;LIU Jing-jing;WANG Qing(Department of Operation Room,the First Hospital of China Medical University,Shenyang 110002,China)

机构地区：[1]中国医科大学附属第一医院手术室,辽宁沈阳110002 [2]中国医科大学附属第一医院心脏外科,辽宁沈阳110002 [3]中国医科大学附属第一医院老年医学科,辽宁沈阳110002 [4]中国医科大学附属第一医院肾内科,辽宁沈阳110002

出　　处：《创伤与急危重病医学》2025年第2期132-135,共4页Trauma and Critical Care Medicine

摘　　要：目的探讨主动脉夹层(AD)发生风险的危险因素。方法选取2021年1月至2023年8月中国医科大学附属第一医院收治的224例AD患者,男性155例,女性69例,年龄(61.33±13.15)岁,年龄范围为41~82岁,按AD疾病类型分为A组(Stanford A型AD,n=89)与B组(Stanford B型AD,n=135)。另选取同时期年龄、性别与AD患者相匹配并排除合并AD疾病的80明体检健康志愿者为C组。收集纳入者的临床资料、既往病史、入院时常规实验室检查指标,分析AD的相关危险因素。结果多元logistic回归分析结果显示,血尿酸浓度高和高血压为AD的独立危险因素。结论高血尿酸浓度和高血压为AD的独立危险因素。Objective To investigate the risk factors for aortic dissection(AD).Methods A total of 224 AD patients admitted to the First Affiliated Hospital of China Medical University from January 2021 to August 2023 were selected,including 155 males and 69 females,aged(61.33±13.15)years old,ranging from 41 to 82 years old.According to the type of AD,the patients were divided into group A(n=89)with Stanford type A AD and group B(n=135)with Stanford type B AD.At the same time,80 healthy volunteers with age and gender matched AD patients and excluded AD disease were selected as group C.Clinical data,past medical history,and routine laboratory examination indexes were collected and the risk factors related to AD were analyzed.Results Multiple Logistic regression analysis showed that high blood uric acid concentration and hypertension were independent risk factors for AD.Conclusion High uric acid concentration and hypertension were independent risk factors for AD.

关 键 词：主动脉夹层 血尿酸 危险因素 

分 类 号：R541.9[医药卫生—心血管疾病]