广西6城市成年人慢性肾脏病流行病学调查  

Prevalence of Chronic Kidney Disease for Adults Population in Six Citys in Guangxi

作　　者：唐盛[1] 龚智峰[1] 王浩宇[1] 闭闵[1] 刘芸芳[1] 李瑾瑜[1] 黄玲[1] 

机构地区：[1]广西壮族自治区人民医院肾内科,广西南宁市530021

出　　处：《医学理论与实践》2011年第14期1625-1626,1628,共3页The Journal of Medical Theory and Practice

基　　金：广西青年科学基金项目(桂科青0832065)

摘　　要：目的：了解广西成年居民慢性肾脏病（CKD）流行情况及危险因素,为临床积极做好CKD防治工作提供有力依据。方法：采用分层多级随机抽样方法,对广西6个城市18-74岁常住居民进行CKD抽样调查。被调查者均接受问卷调查,检测尿白蛋白/肌酐比率、血尿（离心后尿沉渣显微镜检查）和肾脏B超,结果异常者3个月后进行复查。用国人校正的简化MDRD公式计算估计肾小球滤过率（eGFR）。结果：白蛋白尿患病率5.26%,血尿患病率1.03%、肾功能下降率4.02%,CKD患病率9.67%。男性白蛋白尿患病率（5.33%）高于女性,而男性血尿患病率低于女性。初中及以下文化人群的白蛋白尿发病率高于大专以上文化人群。结论：广西成年人CKD发病率为9.67%,CKD发病率存在性别与文化差异。Objective：To investigate the prevalence of chronic kidney disease（CKD）for adults population in Guangxi,in order to provide information for prevention and treatment of CKD.Methods：A stratified multistage random sampling method,18 to 74 years old residents in Guangxi were survey.They were evaluated by questionnaire,urinary albumin/creatinine ratio,hematuria（microscopic examination of centrifuged urine sediment）,kidney B-mode ultrasound,and abnormal results were reviewed after 3 months.Corrected with the simplified MDRD formula people of estimated glomerular filtration rate（eGFR）.Results：The prevalence of albuminuria 5.26% and hematuria 1.03%.The prevalence of CKD was 9.67% and decline in renal function was 4.02%.The prevalence of albuminuria in men（5.33%） was higher than women,while wit the prevalence of hematuria in man lass than women.Junior high school education groups had a high incidence of albuminuria and education groups in college.Conclusion：The prevalence of CKD in Guangxi adults is 9.67%.CKD incidence has sex and education differences.

关 键 词：肾疾病 患病率 白蛋白尿 

分 类 号：R692[医药卫生—泌尿科学]