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长沙市城区慢性肾脏病流行病学调查

罗淑,甘 参,李 燕,贺 艳,王湘川   

  1. 湖南师范大学第二附属医院,湖南师范大学第二附属医院,湖南师范大学第二附属医院,湖南师范大学第二附属医院,湖南师范大学第二附属医院
  • 收稿日期:2017-06-29 修回日期:2017-10-20 出版日期:2017-11-25
  • 基金资助:
    湖南省卫生计生委项目(项目编号:B2016150;项目名称:长沙市城区慢性肾脏病流行病学调查);湖南省残疾人联合会项目(项目编号:2017XK010;项目名称:湖南省听力障碍人群中肾脏疾病流行病学调查)

The Epidemiology and Risk Factors of Chronic Kidney Disease in Changsha Urban Area

LUO SHU,GAN SHEN,LI YAN,HE YAN and WANG XIANG-Chuan   

  1. 0,0,0,0,0
  • Received:2017-06-29 Revised:2017-10-20 Online:2017-11-25

摘要: 目的:调查长沙市城区成年人群慢性肾脏病(CKD)流行病学特点,并分析CKD相关的危险因素。方法:本调查组通过协助各社区卫生服务中心开展的基本公共卫生惠民体检来获取流行病学数据。运用横断面研究方法,采取多阶段抽样方法,于2016年5~7月从长沙市6个区域中,共抽取成年人群3 900名,分别对抽取的居民进行问卷、体格检查及实验室检查。结果:本调查人群蛋白尿患病率为1.34%,男性高于女性;血尿患病率为6.18%,女性高于男性;肾功能下降患病率为5.79%,女性高于男性;CKD患病率为11.76%,女性高于男性,随着年龄增加,CKD患病率呈上升趋势;高龄、女性、文化水平低、高血压、糖尿病为CKD相关危险因素。结论:长沙市城区成年人群CKD知晓率较低,仅为28.73%,通过基本公共卫生惠民体检有助于CKD人群的早发现、早诊断、早治疗。

Abstract: Objective:To investigate and analysis the epidemiology and risk factors of chronic kidney disease(CKD) in the adult population in Changsha urban area.Methods: We assisted the community health service center to carry out the free physical examination to obtain epidemiological data. Using a multistage sampling,3900 residents(older than 18) from May to July in 2016 were selected to be interviewed and tested for the kidney damage indicators and the associated risk factors with CKD. Results: In this survy, it showed that the prevalence of albuminuria was 1.34%,the male was higher than the female;the prevalence of hematuria was 6.18%,the female was higher than the male; the prevalence of reduced eGFR was 5.79%,the female was higher than the male; the prevalence of CKD was 11.76%, the female was higher than the male.And the prevalence of CKD increased with the increase of age; age, female, low level of education, hyperlipidemia, diabetes were independently correlated with high risk factors for CKD.Conclusion: It showed that the awareness rate of chronic kidney disease in Changsha urban area was 28.73%. We need much healthier check-up related to chronic kidney disease to improve the awareness of illness in residents, which is helpful to early diagnosis and early treatment of chronic kidney disease.