摘要
目的了解贵州黔南地区少数民族农村女性居民慢性肾脏病患病现状及其影响因素,为预防和控制慢性肾脏病提供依据。方法于2012年1月—2013年12月,采用多阶段分层整群随机方法抽取39 876名黔南地区20~86岁农村女性居民进行问卷调查、体格检查和实验室检查,确诊慢性肾脏病。结果 39 876名常住女性居民中,确诊慢性肾脏病为4 962例,患病率为12.45%;20岁~、30岁~、40岁~、50岁~、60岁~、70岁~、≥80岁患病率分别为1.21%、3.19%、6.46%、17.26%、21.77%、33.93%、87.33%;布依族患病率为18.73%,苗族为10.28%,水族为9.77%,毛南族为10.39%;不同年龄及民族女性居民患病率间差异均有统计学意义（P〈0.01）;采用美国国家肾脏基金会所属＂肾脏病预后质量倡议＂（K/DOQI）指南标准进行分期,Ⅰ期1 971例,占39.72%,Ⅱ期1 134例,占22.85%,Ⅲ期1 687例,占33.99%,Ⅳ期170例,占3.42%;多因素logistic回归分析结果表明,年龄、民族、居住环境、饮酒年限、饮酒量、好食动物内脏、血压及血尿酸值等是患慢性肾脏病的主要危险因素。结论黔南地区少数民族女性居民慢性肾脏病患病率较高,随着年龄的增加患病率呈上升趋势。
Objective To examine the prevalence and influencing factors of chronic kidney disease（CKD） among rural female residents in Qiannan Buyi and Miao Autonomous Region（Qiannan）and to provide evidences for prevention of chronic kidney disease.Methods From January 2012 to Deceber 2013,a total of 39 876 female residents（aged 20-86 years）in Qiannan were randomly selected with stratified multi-stage cluster sampling.All participants were interviewed face-to-face with a questionnaire and received physical examination including urine and blood test for the diagnosis of CKD.Results Of all the participants,4 962 were diagnosed with CKD and the prevalence rate of CKD was 12.45%.There were significant differences in the prevalence rate of CKD among the participants of different age and nationality.Of all the CDK patients diagnosed,39.72% were at the disease stage Ⅰ,22.85% at stage Ⅱ,33.99% at stage Ⅲ,and3.42% at stage Ⅳ based on the criteria of Kidney Disease Outcomes Quality Initiative（K /DOQI）.Multivariate logistic regression analysis showed that the main risk factors of CKD were age,nationality,living environment,the number of years of alcohol drinking,amount of alcohol intake,preference of eating animal offal,blood pressure level,and blood uric acid content.Conclusion The prevalence rate of CKD is relative high and increases with age among the female living in Qiannan area.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2014年第10期1240-1243,共4页
Chinese Journal of Public Health
基金
贵州省黔南州科技基金(黔南科合字2012008)
关键词
慢性肾脏病
发病率
女性居民
民族地区
chronic kidney disease
morbidity
female residents
minority concentrated region
