鄭州市城区成年人慢性肾脏病流行病学调查.docxVIP

郑州市城区成年人慢性肾脏病流行病学调查 发表时间：2010-02-07发表者：胡晓舟 (访问人次：284) ?刘东伟? 刘章锁?胡晓舟? 邢国兰 ??施学忠本文发表于《中华肾脏病杂志》,2008,24(9):603-607./viewHTML/PeriodicalPaper_zhszb98200809001.aspx【摘要】?目的? 了解郑州市城区成年人慢性肾脏病(CKD)的流行现况。方法? 采取多阶段分层整群随机抽样的的方法，抽取郑州市四社区内20岁及20岁以上常住居民共1855人，进行问卷调查、体格检查和肾脏损伤及相关危险因素检测。结果? 在资料完整的1752名居民中，经过人口年龄性别构成比校正后，白蛋白尿的患病率为5.80％；血尿的患病率为8.23％；肾功能下降的患病率为1.29％。该人群CKD的患病率为l3.63％；知晓率为8.27％。CKD最多见的表现形式是血尿（50.39%）和蛋白尿(31.89%)，多因素Logistic回归提示，性别、年龄、吸烟、体重指数、血压、血糖和血尿酸是CKD的危险因素。结论? 郑州市成年人群CKD的患病率为l3.63％；知晓率为8.27％，CKD的相关危险因素包括性别、年龄、吸烟、体重指数、高血压及高血糖等。【关键词】 肾疾病；慢性病；筛查；患病率；流行病学Epidemiology investigation on chronic kidney disease among adults in urban communities of Zhengzhou cityLIU Dong-wei, LIU Zhang-suo, HU Xiao-zhou, XING Guo-lan, SHI Xue-zhong. Department of Nephrology, the First Affiliated hospital, Zhengzhou University, Zhengzhou 450052,china Correponding author: LIU Zhang-suo, E-mail:zhangsuoliu@【Abstract】 Objective ?To study the prevalence of chronic kidney disease(CKD) and risk factors among adults in Zhengzhou. Methods ?1855 residents (older than 20 years)from 4 communities in 4 districts of Zhengzhou city were randomly selected using a stratified，multistage sampling．All residents were interviewed and given physical examination ,and also tested for sample of uria and blood. Results ?Eligible data of 1752 subjects were enrolled in the study．After the adjustment of age and gender component．Albuminuria was detected in 5.80％ of subjects,hematuria in 8.23％,reduced renal function in 1.29％，Approximately 13.63％ of subjects had at least one indicator of kidney damage. The most common combination of CKD individual components were hematuria；while,albuminuria was also another one common combination.Sex,age,smoking, body mass index (BMI),diabetes mellitus, hypertension and uric acid were independently associated with CKD．Conclusion? The prevalence of chronic kidney disease is 13.63％ and the recognition is 8.27％ in urban adult population of ZhengZhou．Independent risk factors associated with kidn