广西农村居民慢性肾脏病流行病学调查  

Prevalence of chronic kidney disease in rural population in Guangxi

作　　者：唐盛[1] 彭小梅[1] 伍秋霞[1] 吴潮清[1] 王浩宇[1] 曾春[1] 雷海燕[1] 龚智峰[1] 

机构地区：[1]广西壮族自治区人民医院肾内科,广西南宁530021

出　　处：《吉林医学》2011年第25期5268-5271,共4页Jilin Medical Journal

基　　金：广西青年科学基金项目(桂科青0832065)

摘　　要：目的:了解广西农村居民慢性肾脏病(CKD)流行情况及危险因素,为做好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18～74岁农村居民进行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)。同时调查了CKD的相关危险因素。结果:广西农村居民白蛋白尿患病率5.35%,血尿患病率0.97%,肾结石患病率10.73%,肾功能下降率4.08%,CKD患病率9.47%。农村居民CKD危险因素依次肾结石、高血压、糖尿病、年龄、高尿酸血症、慢性扁桃体炎和HBsAg阳性。居民CKD知晓率6.27%。结论:农村居民CKD发病率分别为9.47%,居民CKD知晓率,CKD相关危险因素肾结石、高血压、糖尿病、年龄、高尿酸血症、慢性扁桃体炎和HBsAg阳性。Objective To investigate the prevalence,awareness and risk factors of chronic kidney disease（CKD） among rural population in Guangxi,in order to provide information for prevention and treatment of CKD.Method A stratified multistage random sampling method was taken,18~74 years old residents in rural areas 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 3 months later.The corrected glomerular filtration rate（eGFR） was estimated with corrected simplified MDRD formula.The risk factors associated with CKD was also investigated.Results The prevalence of albuminuria and hematuria was 5.35% and 0.97%,respectively.The prevalence of renal lithiasis in rural residents was 10.73%.The decreased of renal function was 4.08%.The prevalence of CKD was 9.47% in rural population.Based on logistic regression analysis,the risk factors for CKD in rural residents had followed by renal lithiasis,hypertension,diabetes,age,hyperuricemia,chronic tonsillitis,and positive HBsAg in rural.The awareness rate of CKD was 6.27%.Conclusion The prevalence of CKD in rural residents is 9.47%.The awareness rate of CKD in rural population is 6.27%.Independent risk factors of CKD includes renal lithiasis,hypertension,diabetes,age,hyperuricemia,chronic tonsillitis,and positive HBsAg.

关 键 词：肾疾病 患病率 危险因素 农村 

分 类 号：R692[医药卫生—泌尿科学]