湖北天门城镇老年人慢性肾脏疾病及主要危险因素流行病学调查  

Epidemiological investigation on chronic kidney disease and its main risk factors among the elderly in Tianmen,Hubei

作　　者：邵宁[1] 孙治华[1] 柳林伟[1] 金文敏[1] SHAO Ning;SUN Zhihua;LIU Linwei;JIN Wenmin(Department of Nephrology,First People′s Hospital of Tianmen City,Tianmen,Hubei 431700,China)

机构地区：[1]湖北省天门市第一人民医院肾内科,湖北天门431700

出　　处：《公共卫生与预防医学》2020年第6期129-132,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的研究湖北天门城镇老年人慢性肾脏疾病流行病学特征及主要危险因素。方法研究采取描述性研究,以2017年1月至2020年1月在湖北省天门地区分层抽样的65岁以上本地居民720例作为研究对象,对比慢性肾病患者的一般资料之间差异,比较不同疾病进展患者的一般资料,并分析慢性肾病以及疾病进展的危险因素。结果通过对慢性肾病情况的诊断,共计发现82例慢性肾病患者,其中Ⅰ期患者33例,Ⅱ期患者26例,Ⅲ期患者23例;随着疾病的进展,患者的年龄、血尿酸、甘油三酯、总胆固醇、空腹血糖、血肌酐、慢性病发病情况显著升高。通过相关性分析,慢性肾病的发病以及疾病的进展与年龄、体重指数、血尿酸、甘油三酯、总胆固醇、空腹血糖、血肌酐水平、糖尿病、高血压、血脂异常呈现正相关,且为造成患者慢性肾病的独立危险因素。结论湖北地区慢性肾脏病的患病率为11.39%,较高的年龄、血尿酸、血脂、血压以及血糖水平,均是造成患者慢性肾病进展的重要原因。Objective To investigate the epidemiological characteristics and main risk factors of chronic kidney disease in the elderly in Tianmen,Hubei Province.Methods A descriptive method was adopted in this study.Using stratified sampling,a total of 720 local residents over 65 years old in Tianmen of Hubei Province were selected from January 2017 to January 2020 as the research subjects.The general information of patients with chronic kidney disease was compared,and the difference in the characteristics of patients with different disease progression was compared.The risk factors for chronic kidney disease and disease progression were analyzed.Results Through the diagnosis of chronic kidney disease,a total of 82 patients with chronic kidney disease were found,including 33 patients in stage I,26 patients in stage II and 23 patients in stage III.As the disease progressed,the patient′s age,serum uric acid,triglyceride,total cholesterol,fasting blood glucose,serum creatinine,and the incidence of chronic diseases all increased significantly.The results of correlation analysis showed that the incidence of chronic kidney disease and the progression of the disease were positively correlated with age,body mass index,serum uric acid,triglyceride,total cholesterol,fasting blood glucose,serum creatinine level,diabetes,hypertension,and dyslipidemia,which were independent risk factors for chronic kidney disease.Conclusion The prevalence of chronic kidney disease in Tianmen was 11.39%.Higher age,serum uric acid,blood lipid,blood pressure and blood glucose levels are all important factors for the progression of chronic kidney disease.

关 键 词：慢性肾病 危险因素 高血压 糖尿病 血脂异常 

分 类 号：R181[医药卫生—流行病学]