2578例高脂血症者慢性肾脏病分析  

Analysis of Prevalence Rate and Relating Risk Factors of Chronic Kidney Disease with Hyperlipidemia in 2578 Cases

作　　者：张维忠[1] 郭宗琳[1] 钱泉[1] 王启容[1] 高祥[1] 蒲丽君[1] 杨梅[1] 付彬[1] 宿林 苏晓渝[1] 

机构地区：[1]成都铁路分局医院,四川成都610081

出　　处：《现代临床医学》2016年第1期55-56,58,共3页Journal of Modern Clinical Medicine

基　　金：四川省卫生厅科研课题(编号080086)

摘　　要：目的:探讨高脂血症者慢性肾脏病的患病情况及相关危险因素。方法:对2009—2010年成都铁路职工健康体检中有完整资料的2 578例高脂血症者慢性肾脏病的患病情况及相关危险因素进行分析。结果:高脂血症者白蛋白尿、血尿和肾功能下降的患病率分别为14.08%、2.37%和3.26%。该人群中慢性肾脏病的患病率为17.73%;高脂血症者胆固醇、三酰甘油均与尿微量白蛋白/肌酐比值呈正直线相关;女性、高血压、糖尿病、高尿酸、高三酰甘油和高体质量指数是高脂血症者慢性肾脏病的独立危险因素。结论:高脂血症者中,慢性肾脏病的患病率较普通人群高,主要表现为白蛋白尿,与血脂水平有关。控制血脂、血压、血糖、血尿酸和体质量指数,可减少慢性肾脏病的发生和发展。Objective： To identify the prevalence rate and ralating risk factors of chronic kidney disease（ CKD） with hyperlipidemia. Methods： 2 578 eligible samples of railway workers with chronic kidney disease and hyperlipidemia between2009—2010 were analysed. Results： Prevalence rate of albuminuria in the group of hyperlipidemia was 14. 08%,prevalence rate of hematuria was 2. 37%,prevalence rate of reduced e GFR was 3. 26%. Prevalence rate of CKD in the group was 17. 73%.Cholesterol and triglyceride were positive linear related with urin microalbumin / urin creatinine. Female,hypertension,diabetes mellitus,Hyperuricemia,Hypertriglyceridemia and hypergravity were independent risk factors of CKD. Conclusion： The prevalence rate of CKD is higher in hyperlipidemia group of than in ordinary people. Albuminuria is main manifestation in the group and is related with the level of blood fat. Control of blood fat,blood,pressur,bloodglucose,uric acid and body mass index help reducing the occurrence and development of CKD.

关 键 词：高脂血症 慢性肾脏病 患病率 危险因素 

分 类 号：R692[医药卫生—泌尿科学]