绵阳地区中老年人群慢性肾病发病特点及共病调查分析  

Epidemiological characteristics and co-morbidities of chronic kidney disease in middle-aged and elderly population in Mianyang

作　　者：马懿 曾蜀春 MA Yi;ZENG Shuchun(Department of Nephrology,Mianyang 404 Hospital,Sichuan 621000,China)

机构地区：[1]绵阳四〇四医院肾脏内科,四川绵阳621000

出　　处：《公共卫生与预防医学》2025年第2期74-77,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的调查绵阳地区中老年人群慢性肾病(chronic kidney disease,CKD)发病特点及共病状况,探究中老年人群共病情况与CKD间的关系。方法采用分层整群随机抽样方法,选取2022年1月至2024年2月绵阳地区部分社区40岁以上进行健康体检的4828位居民作为研究对象,分析中老年人群CKD的发病特点和共病情况,并利用logistic回归分析中老年人群共病情况与CKD间的关系。结果绵阳地区中老年人群的CKD检出率为10.94%,不同性别和不同职业居民的CKD检出率差异无统计学意义(P>0.05)。不同年龄、身体活动强度、生活习惯的中老年人群CKD检出率差异有统计学意义(P<0.05),共病数量≥2的患者CKD检出率较高(P<0.05)。多因素logistic回归结果显示,吸烟、喝酒、糖尿病、高血压、高尿酸血症、高脂血症、冠心病、脑卒中、共病病数≥2种是中老年人群CKD的危险因素(P<0.05)。结论吸烟、喝酒、糖尿病、高血压、高尿酸血症、冠心病、高脂血症、共病数量≥2的中老年人发生CKD的概率较大。Objective To investigate the epidemiological characteristics and co-morbidities of chronic kidney disease(CKD)in middle-aged and elderly population in Mianyang,and to explore the relationship between comorbidity and CKD prevalence in middle-aged and elderly populations.Methods A stratified cluster random sampling technique was utilized to enroll 4828 residents over 40 years of age who underwent health checkups in Mianyang communities from January 2022 to February 2024.The characteristics of the onset and co-morbidities of CKD in the middle-aged and elderly population was analyzed,and relationship between comorbidities and CKD was verified using logistics regression method.Results The detection rate of CKD in the middle-aged and elderly population in Mianyang area was 10.94%.The detection rate of CKD yielded no significant difference among residents of different genders and occupations(P>0.05),while statistical difference was reported in terms of age,physical activity patterns and living habits(P<0.05).The detection rate of CKD was high in residents with a number of co-morbidities≥2(P<0.05).Multivariate logistic regression analysis denoted that smoking,alcohol consumption,diabetes mellitus,hypertension,hyperuricaemia,hyperlipidaemia,coronary heart disease,stroke,and number of co-morbidities≥2 were risk factors for CKD in middle-aged and elderly population(P<0.05).Conclusion The middle-aged and elderly population of smoking,alcohol consumption,diabetes,hypertension,hyperuricaemia,coronary heart disease,hyperlipidaemia,and number of co-morbidities≥2 are at high risk of developing CKD.

关 键 词：中老年人 CKD 共病调查 logistic回归 整群抽样 

分 类 号：R181[医药卫生—流行病学]