查詢結果分析
相關文獻
- Clinical Features of Sonography-Diagnosed Gouty Nephropathy: Analysis of 151 Cases in a Medical Center
- The Risk Factors of Renal Function Deterioration in Type 2 Diabetic Patients: The Experience of a Taiwan Local Hospital
- 痛風之探討回顧
- 艾灸對慢性腎病的療效
- Effect of Weight Reduction on Serum Uric Acid, Urinary Excretion of Uric Acid and Insulin Resistance in Obese Individuals
- 運動與高尿酸血症
- 兒童蛋白尿
- 運動員蛋白尿(Proteinuria)的種類及其產生原因病理機轉以及健康管理防治策略
- 痛風與高尿酸患者的飲食治療
- 兒童全身性水腫及蛋白尿
頁籤選單縮合
題 名 | Clinical Features of Sonography-Diagnosed Gouty Nephropathy: Analysis of 151 Cases in a Medical Center=經超音波診斷之痛風腎病變其臨床特徵:某醫學中心151位病例分析 |
---|---|
作 者 | 黃玉樹; 鄭添財; 張智鴻; 許君碩; 李建德; 邱鼎育; 賴漢明; 鄭本忠; 簡玉樹; 莊峰榮; 陳忠仁; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 23:1 2009.03[民98.03] |
頁 次 | 頁15-20+54 |
分類號 | 415.925 |
關鍵詞 | 痛風腎病變; 高尿酸血症; 慢性腎病; 蛋白尿; Gouty nephropathy; Uric acid; Chronic kidney disease; Proteinuria; |
語 文 | 英文(English) |
英文摘要 | Background: Gout is a disorder of purine metabolism or renal excretion of uric acid, and frequently involves the kidney. Sonographic abnormalities are specific findings suggestive of renal tissue damage. We aimed to investigate clinical manifestations of gouty nephropathy, evaluate renal function and find out factors contributing to renal failure. Methods: We retrospectively enrolled 151 gouty patients with sonographic evidence of gouts nephropathy between May 1998 and October 2005. Demographic data, kidney size by sonography, biochemical data including blood urea nitrogen and creatinine, urinalysis report, and comorbidities of each patient were collected. Results: Among the 151 gouty nephropathy patients enrolled. 87.4% (N=132) were men. About 56% of the patients had hematuria and 30% had proteinuria. We found that 81.4% of the patients had marked renal function impairment (chronic kidney disease, CKD, Stages 3-5). Normal kidney size was observed in 77.5% of the subjects, among which 76% were at CKD Stages 3-5 according to their renal function. Proteinuria was detected more frequently as renal failure progressed (p=0.026). Hypertension, which accounted far 48.3% of our patients, was noted to increase proportionally with advanced kidney failure, hi multivariate regression analysis, patient age was found to be the sole independent associate of renal function. Conclusion: Most gamy patients with sonographic abnormalities were characterized by impaired renal function. With CKD progressions, incidence of both proteinuria and hypertension were also high. Patient age was an important contributing factor of renal function impairment in gouty nephropathy. |
本系統中英文摘要資訊取自各篇刊載內容。