中青年慢性肾脏病非透析患者共病现状分析  

Status of comorbidity in young and middle-aged non-dialyzed patients with chronic kidney disease

作　　者：田瑞杰[1] 徐飒[1] 王荟苹[1] 史娟娟[1] TIAN Rui-jie;XU Sa;WANG Hui-ping;SHI Juan-juan(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450001,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450001

出　　处：《华南预防医学》2022年第2期156-159,共4页South China Journal of Preventive Medicine

基　　金：中华医学会杂志社2019年护理学科研究课题(CMAPH-NRI2019017)。

摘　　要：目的了解中青年慢性肾脏病非透析患者共病情况及其影响因素,为慢性肾脏病共病防治提供依据。方法选取2020年1—8月在某三甲医院住院的中青年慢性肾脏病非透析患者,采用自行设计的一般资料调查表和疾病累积评分表进行共病状态评估。结果最终纳入患者987例,以男性(59.8%)、18~44岁(53.2%)为主。中青年慢性肾脏病非透析患者共病率为85.3%,合并单病种以高血压(13.5%)、糖尿病(6.4%)、肝脏疾病(6.8%)、肺部感染(4.6%)最为多见,合并2种慢性病模式以高血压+糖尿病最为常见(6.3%)。疾病累积评分为7(5,9)分,882例(89.4%)处于轻度共病状态。性别(β’=-0.067)、年龄(β’=0.061)、共病种数(β’=0.622)是疾病累积评分的影响因素(P<0.05或P<0.01)。结论中青年慢性肾脏病非透析患者共病情况不容忽视,卫生行政部门应提高对慢性病共病的管理意识,采取相应措施以提升中青年慢性肾病患者的健康水平。ObjectiveTo understand the comorbidity of young and middle-aged non-dialyzed patients with chronic kidney disease(CKD)and its influencing factors,so as to provide basis for the prevention and control of CKD comorbidity.MethodsYoung and middle-aged non-dialyzed patients with CKD hospitalized in a hospital from January to August2020 were selected to evaluate the comorbidity status by using the self-designed general information questionnaire and the cumulative illness rating scale(CIRS).ResultsA total of 987 patients were finally included,mainly male(59.8%)and18-44 years old(53.2%).The prevalence of comorbidity in young and middle-aged non-dialyzed patients with CKD was85.3%.Hypertension(13.5%),diabetes mellitus(6.4%),liver disease(6.8%)and pulmonary infection(4.6%)were the most common comorbidities.Hypertension and diabetes mellitus were the most common comorbidities in the two chronic disease modes(6.3%).The score of CIRS was 7(5,9),and 882 cases(89.4%)were in mild comorbidity.Gender(β’=-0.067),age(β’=0.061)and number of comorbidities(β’=0.622)were the influencing factors of CIRS score(P<0.05 or P<0.01).ConclusionThe comorbidity of young and middle-aged non-dialyzed patients with CKD can’t be ignored.The health administrative department should improve the management awareness of chronic diseases and take corresponding measures to improve the health level of young and middle-aged patients.

关 键 词：中青年 慢性肾脏病 共病 高血压 糖尿病 

分 类 号：R195[医药卫生—卫生统计学]