摘要
目的了解从化市慢性肾脏疾病(CKD)的患病率和知晓率的情况,同时获取人群高血压、糖尿病、高尿酸血症等CKD危险因素的发生情况。方法采用分层多级随机抽样方法,从镇、街道中随机抽取符合条件的对象约1000人,从我院体检中心中抽取符合条件的对象约4000名,进行问卷调查、体格检查和肾脏损伤及相关危险因素检测。结果在资料完整的5000名对象中,CKD的发病率为8.92%;对该疾病的知晓率为8.80%,认知率为7.30%。CKD最多见的表现形式是血尿(50.43%)和蛋白尿(31.76%),多因素Logistic回归提示,性别、年龄、吸烟、体重指数、血压、血糖和血尿酸是CKD的危险因素。结论从化市CKD的患病率虽低于国内平均水平,但患者对其疾病状况的知晓率和认知率却很低,随着都市化进程以及人口的老龄化和生活方式的改变,CKD的患病率仍有可能攀升,因此,应加强CKD的筛查和预防,开展CKD的健康教育,有针对性采取干预措施,以提高慢性肾脏病的防治水平。
Objective To study the prevalence of chronic kidney disease(CKD)and risk factors in CongHua.And to get the crowd high blood pressure,diabetes,high serum uric acid and other CKD risk factors for the occurrence.Methods Stratified multi-stage random sampling method,from the town,the streets at random eligible target of about 1000 people,from my hospital medical center meet the requirements of the objects collecteda bout 4000 people,conducted a questionnaire survey,physical examination,and kidney damage and related detection of risk factors.Results In the data integrity of 5000 objects,CKD prevalence rate of 8.92%;the diseasei s 8.80% of awareness,cognition rate of 7.30%.Most common manifestation of CKD is haematuria(50.43%)andp roteinuria(31.76%),multi-factor Logistic regression suggested that gender,age,smoking,body mass index,blood pressure,blood sugar and blood uric acid is a risk factor for CKD.Conclusion The prevalence of CKD below the national average,but patients on their disease status of awareness and recognition rate is very low,with the urbanization process and the aging of the population and lifestyle changes,CKD's risk disease rates could still rise,therefore,should be strengthened screening and prevention of CKD,CKD carried out health education,targeted interventions to improve prevention and treatment of chronic kidney disease.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2010年第S1期30-33,共4页
Chinese Journal of Practical Internal Medicine
关键词
慢性肾脏疾病
筛查
患病率
chronic kidney disease
screening
prevalence rate
