武警某部入伍新兵慢性肾脏病患病情况调查  

Survey on the prevalence of chronic kidney disease in armed police recruits

作　　者：李德谦[1] 李颖[2] 张玉琴[3] 姚立茹[1] 郭葆勤 连莉莎[1] 

机构地区：[1]武警山西总队医院肾病科,山西太原030006 [2]武警山西总队医院医务处,山西太原030006 [3]武警山西总队医院中心实验室,山西太原030006

出　　处：《武警后勤学院学报（医学版）》2015年第3期191-194,共4页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】了解武警部队入伍新兵中慢性肾脏病（chronic kidney diesase,CKD）的患病情况及相关危险因素。【方法】采用横断面调查对武警某部2010年入伍新兵的新训队采用整群随机抽样,进行问卷调查和实验室检查。调查资料采用多因素Logistic回归分析进行CKD的相关危险因素探索。【结果】1 759例受调查者中,整体CKD的患病率6.7%,其中血尿异常2例,蛋白尿异常116例。不同年龄间CKD的蛋白尿患病率存在差别,以22~24岁年龄组CKD患病率最高。同时,在BMI高于24 kg/m2和TG高于1.70 mmol/L与正常者相比,CKD患病情况也有明显差异（P〈0.001,P〈0.001）。多元Logistic回归分析结果显示,年龄为22~24岁相对于16~18岁组,CKD发生率显著增加10.28倍,BMI≥24 kg/m2的人群发生CKD可能是BMI〈24 kg/m2人群的1.82倍。TG≥1.70 mmol/L人群出现CKD是TG〈1.70 mmol/L人群的2.06倍。【结论】武警某部2010年入伍新兵中存在一定比例的CKD的患病情况。造成新兵CKD发生的因素可能为年龄偏大、BMI≥24 kg/m2和TG≥1.70 mmol/L。[Objective] To investigate the prevalence of chronic kidney disease and associated risk factors in armed police recruits. [Methods] Cross sectional study was adopted. Cluster random sampling was used to select study samples in armed police recruits of 2010, questionnaire survey and laboratory tests were carried out.. To explore the related risk factors for CKD, multivariate logistic regression method were adopted. [ Results ] In 1,759 cases surveyed, the overall prevalence of CKD was 6.7% （118/1759） and two cases of hematuria and 116 cases of proteinuria were included. Differences of proteinuria prevalence existed in different age groups of CKD. The highest prevalence of CKD were occurred in 22 to 24 age group. Compared with healthy subjects, CKD prevalence had obvious difference （P〈0.001, P〈0.001） in individuals with BMI ≥24 kg/m2 and TG≥1.70 mmol/L. Multivariate logistic regression results showed that compared with 16 to18 age group, the occurrence rate （OR） of CKD was significantly increased 10.28 folds. OR of CKD in people with BMI≥24 kg/m2 was 1.82 （95% CI 1.14-2.93） times that of people with BMI〈24 kg/m2, and OR of CKD in people with TG ≥1.70 mmol/L was 2.06 times that of people with TG〈1.70 mmol/L. [Conclusion]There is a certain proportion of the prevalence of CKD in armed police forces recruits of 2010. And the risk factors for CKD of recruits may be age〉22 years old , BMI≥24 kg/m2 and TG≥1.70 mmol/L.

关 键 词：慢性肾脏病 危险因素 新兵 

分 类 号：R692[医药卫生—泌尿科学]