成都城市社区80岁以上人群肾功能下降的流行病学研究  

Reduced renal function among urban community population over 80 years old in Chengdu：an epidemiological study

作　　者：丁琦[1] 黄晓波[2] 李秋[2] 刘剑雄[2] 聂晓莉[2] 张廷杰[3] 胡咏梅[2] 刘朝晖[1] 刘雅[3] 易延静[3] 张健[1] 程小云[1] 

机构地区：[1]成都市第二人民医院肾内科,成都610017 [2]成都市第二人民医院心内科,成都610017 [3]成都市第二人民医院老年科,成都610017

出　　处：《中华老年多器官疾病杂志》2014年第5期353-356,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：四川省科技厅重点支撑项目（2009FZ0027）;成都市科技局项目（11PPYB034SF-289）

摘　　要：目的：探讨成都城市社区≥80岁人群肾功能下降的流行状况及危险因素。方法采取分层整群抽样的方法，于2012年至2013年在成都城市社区抽取≥80岁人口826人，进行肾功能下降及相关危险因素的问卷调查、体格检查和实验室检查。结果成都城市社区≥80岁人群肾功能下降的患病率19.6%，随年龄增加患病率进一步增高。在肾功能下降人群中，知晓率24.1%、治疗率11.1%。多因素logistic回归提示糖尿病、年龄、高血压、超重或肥胖为≥80岁人群肾功能下降的独立危险因素。结论成都城市社区≥80岁人群中肾功能下降较为普遍，在高龄人群中需加强肾功能监测。≥80岁人群肾功能下降知晓率、治疗率较低，形势严峻。在该人群中，积极防治糖尿病、高血压，控制超重或肥胖，对于干预肾功能下降的发生发展有着重要意义。Objective To investigate the prevalence and risk factors of reduced renal function among the population over 80 years old living in the communities of Chengdu City. Methods A total of 826 subjects were sampled from residents over 80 years old in the urban and rural communities of Chengdu City by stratified cluster sampling in the years of 2012 to 2013. Data were collected through questionnaires, physical examination, and laboratory tests for reduced renal function and relative risk factors. Results The prevalence of reduced renal function was 19.6%among the elderly over 80 years, and increased with age. Among those with reduced renal function, their awareness rate was 24.1%and the treatment rate was 11.1%. Multivariate logistic regression analysis indicated that diabetes, age, hypertension, overweight or obesity were identified as independent risk factors associated with reduced renal function among the elderly. Conclusion Reduced renal function is quite common among the elderly over 80 years in Chengdu communities. It is of importance to strengthen the monitoring of renal function in the elderly. The awareness rate and the treatment rate of reduced renal function are very low in the elderly. It is of important significance to prevent and treat diabetes and hypertension, and to control overweight and obesity in the elderly, so as to lower the incidence and development of reduced renal function.

关 键 词：80岁以上人群 肾功能下降 患病率 危险因素 

分 类 号：R692[医药卫生—泌尿科学]