血脂异常与慢性肾功能衰竭 KDIGO ≥ 3 患者肾小球滤过率降低的关系

Zayra Carolina, Rojas Castillo, Elizabeth Ruíz López, Moisés Moreno Noguez, Eleane Daniela Solorio Adame, Blanca Estela, Herrera Morales, Luis Rey, García Cortés, Olga Lidia, Toxqui Delgado, Victor Itai, Urbalejo Ceniceros, Dana Aline Pérez Camargo, Victor Manuel Enriquez Estrada, María Rebeca Velasco Domínguez
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摘要

目的确定血脂异常与 CKD KDIGO≥3 患者肾小球滤过率(eGFR)下降的关系。材料和方法。观察性、分析性、纵向、前瞻性研究;在 Zumpango 第 55 号家庭医学科(UMF)进行,样本量使用平均差公式计算,预期平均值为 5.2,共获得 90 名 20-69 岁的 CKD KDIGO ≥3 患者。将有血脂异常和无血脂异常的患者分为两组,其中评估肌酐以计算估计肾小球滤过率(eGFR)、总胆固醇和甘油三酯、接受肾功能替代治疗的受试者、有改变脂质代谢的病变或治疗的患者。在双变量分析中,根据血脂异常组和非血脂异常组 eGFR 值的分布类型,采用了学生 T 检验和曼-惠特尼 U 检验。结果和结论。根据血脂异常组和无血脂异常组的 eGFR 值显示,20 至 69 岁的 CKD KDIGO≥3 且伴有血脂异常的患者,首次分析的平均 eGFR 值为 40.24,随访分析的平均 eGFR 值为 34.70,平均差为 5.53,差异显著(P=0.003)。
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Association of Dyslipidemia in Decreased Glomerular Filtration Rate in Patients with CKD KDIGO ≥ 3
Objective. To determine the association of dyslipidemia with decreased glomerular filtration rate (eGFR) in patients with CKD KDIGO ≥3. Material and methods. Observational, analytical, longitudinal, ambispective study; was carried out at the Family Medicine Unit (UMF) No. 55 Zumpango, the sample size was calculated using the mean difference formula, with an expected mean of 5.2, obtaining n= 90 patients with CKD KDIGO ≥3 , between 20-69 years. Patients with dyslipidemia and without dyslipidemia were classified into 2 groups, in which creatinine was evaluated to calculate the estimated glomerular filtration rate (eGFR), total cholesterol and triglycerides, subjects with renal function replacement therapy, patients with pathologies or treatments that modify lipid metabolism. For the bivariate analysis, the Student’s T test and the Mann-Whitney U test were applied according to the type of distribution presented by the eGFR values for the groups with and without dyslipidemia. Result and conclusion. Based on the eGFR values for the groups with and without dyslipidemia, they show that patients aged 20 to 69 years with CKD KDIGO ≥ 3 with dyslipidemia presented a mean eGFR of 40.24 for the first analysis, and 34.70 for the follow-up analysis., with a mean difference of 5.53, which was significant (p=0.003).
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