首页 > 期刊杂志 > 正文

Study on Hyperuricemia in HBV-Associated Glomerulonephritis.

对HBV相关性肾小球肾炎合并高尿酸血症的研究。

Zhuang Y,Yu Y,Huang Y,Zhong X

Abstract

Objectives: To determine the prevalence and risk factors for hyperuricemia in hepatitis B virus-associated glomerulonephritis (HBV-GN). Methods: Univariate and multivariate logistic regression analysis was applied to decide the risk factors of hyperuricemia in HBV-GN, and clinical and pathologic data were compared between HBV-GN patients with hyperuricemia and those with normal serum uric acid. Results: Among our 227 HBV-GN cases, 31.3% of the patients had hyperuricemia at the time of renal biopsy. Univariate analysis showed that the level of serum creatinine and the severity of glomerular and tubular interstitial injury were significantly related to hyperuricemia. Multivariate logistic regression analysis identified the levels of serum creatinine and tubular interstitial injury as independent factors for hyperuricemia. The incidence of hypertension and lower estimated glomerular filtration rate was significantly higher in hyperuricemic patients with HBV-GN than in normouricemic patients. There were also fewer membranous nephropathy, more proliferative sclerosing glomerulonephritis, and more tubular interstitial injury in hyperuricemic patients with HBV-GN. Conclusions: Our study results suggest that hyperuricemia is common in HBV-GN, which may facilitate the progression of HBV-GN and renal tubular interstitial injury as well as the development of hypertension.

摘要

目的:确定乙型肝炎病毒相关性肾小球肾炎(HBV-GN)中合并高尿酸血症的比例和危险因素。方法:应用单变量和多变量逻辑回归分析方法来判定HBV-GN中合并高尿酸血症的危险因素,并对HBV-GN中合并高尿酸血症的患者和尿酸正常患者的临床及病理数据进行比较。结果:在我们调查的227例HBV-GN病例中,31.3%的患者在肾活检时合并有高尿酸血症。单变量分析表明,血清肌酐水平、肾小球和肾小管间质损伤的严重程度都与高尿酸血症显著相关。多变量逻辑回归分析表明,对高尿酸血症而言,血清肌酐水平和肾小管间质损伤是互相独立的因素。HBV-GN合并高尿酸血症患者中,高血压和低肾小球滤过率的发病率显著的高于尿酸正常患者。HBV-GN合并高尿酸血症的患者较少发生膜性肾病、较多出现增生性硬化性肾小球肾炎、较多肾小管间质损伤。结论:我们的研究结果表明HBV-GN常合并高尿酸血症,这可能会促进HBV-GN和肾小管间质损伤的病程以及高血压病的进展。

full text

我要评论

0条评论