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上海某社区老年人慢性肾脏病的流行病学研究 被引量:5

Epidemiological study of chronic kidney disease in elderly people in a community in Shanghai
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摘要 目的 :探讨老年人群中慢性肾脏疾病(CKD)的患病情况及其相关危险因素。方法 :以2017年4月至8月上海市嘉定区安亭镇黄渡社区年龄60岁以上的老年人群为研究对象,调查老年人的基本情况及CKD相关危险因素,采用多因素logistic回归分析CKD与危险因素的关系。结果 :6 795例老年人中,白蛋白尿、血尿和肾功能下降的检出率分别为9.7%、6.1%和6.9%,CKD的检出率为21.3%。白蛋白尿患病率随年龄增加而上升(P=0.003),女性的白蛋白尿和血尿患病率高于男性(P <0.001);CKD患病率随年龄增加而上升(P=0.003)。多因素logistic回归分析显示糖尿病、高血压、年龄是CKD的独立危险因素。结论:老年人CKD患病情况不容乐观,需积极开展CKD的早期筛查工作,采取有效的预防措施,达到延缓CKD的进展,防止终末期肾病发生的目的。 Objective: To investigate the prevalence of chronic kidney disease(CKD) in the elderly population and the related risk factors. Methods: From April to August 2017, the elderly people in Huangdu Community aged over 60 years old were selected as research objects to investigate the basic conditions of the elderly people and the risk factors associated with CKD. Multivariate logistic regression was used to analyze the relationship between CKD and risk factors. Results: Among the 6 795 elderly people, the detection rates of albuminuria, hematuria and renal function decline were 9.7%, 6.1% and 6.9%, respectively and the detection rate of CKD was 21.3%. The prevalence of albuminuria increased with age(P=0.003), and the prevalence of albuminuria and hematuria was higher in women than in men(P〈0.001); the prevalence of CKD increased with age(P=0.003). Multivariate logistic regression analysis showed that diabetes, hypertension, and age were the independent risk factors for CKD. Conclusion: The situation of CKD in the elderly people is not optimistic. It is necessary to actively carry out the early screening work of CKD and take efective preventive measures to achieve the purpose of delaying the progression of CKD and preventing the occurrence of end-stage renal disease.
作者 张维维 陈亮 夏秀萍 ZHANG Weiwei;CHEN Liang;XIA Xiuping(General Medical Department of Huangdu Community Health Service Center of Anting Town of Jiading District,Shanghai 201804,China)
出处 《上海医药》 CAS 2018年第18期38-41,共4页 Shanghai Medical & Pharmaceutical Journal
基金 上海市嘉定区卫生和计划生育委员会(2017SQ01)
关键词 慢性肾脏病 患病率 流行病学 危险因素 chronic kidney disease prevalence epidemiology risk factor
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