成都城社区80岁以上人群肾功能下降的流行病学研究.docVIP

·临床研究· 成都城市社区80岁以上人群肾功能下降的流行病学研究 丁 琦1，黄晓波2*，李 秋2，刘剑雄2，聂晓莉2，张廷杰3，胡咏梅2，刘朝晖1，刘 雅3，易延静3，张 健1，程小云1 （成都市第二人民医院：肾内科1，心内科2，老年科3，成都 610017） 【摘 要】目的 探讨成都城市社区≥80岁人群肾功能下降的流行状况及危险因素。方法 采取分层整群抽样的方法，2012年至2013年在成都城市社区抽取≥80岁人口826人，进行肾功能下降及相关危险因素的问卷调查、体格检查和实验室检查。结果 成都城市社区80岁以上人群肾功能下降的患病率19.6%，随年龄增加患病率进一步增高。在肾功能下降人群中，知晓率24.1 %、治疗率11.1%。多因素logistic回归提示糖尿病、年龄、高血压、超重或肥胖为80岁以上人群肾功能下降的独立危险因素。结论 成都城市社区80岁以上人群中肾功能下降较为普遍，在高龄人群中需加强肾功能监测。≥80岁人群肾功能下降知晓率、治疗率较低，形势严峻。在该人群中，积极防治糖尿病、高血压，控制超重或肥胖，对于干预肾功能下降的发生发展有着重要意义。 【关键词】80岁以上人群；肾功能下降；患病率；危险因素 【中图分类号】 R692 【文献标识码】 A 【DOI】 ? Epidemiological study on reduced renal function among community population over 80 year old in Chengdu DING Qi1, HUANG Xiao-Bo2*, Li Qiu2, LIU Jian-Xiong2, NIE Xiao-li2, ZHANG Yan-Jie3, HU Yong-Mei3, LIU Zhao-Hui1, LIU Ya3, YI Yan-Jing3, ZHANG Jian1, CHENG Xiao-Yun1 (1Department of Nephrology, 2Department of Cardiology, 3Department of Geriatrics, The Second People’s Hospital of Chengdu City, Chengdu 610017, China) 【Abstract】 Objective To investigate the prevalence and risk factors of reduced renal function among the population over 80 years old living in the communities of Chengdu City. Methods A total of 826 subjects were sampled from all people over 80 years old living in the urban and rural communities of Chengdu by stratified cluster sampling in the year of 2012 to 2013. Data were collected through questionnaires, physical examination, and laboratory tests for reduced renal function and relative risk factors. Results The prevalence of reduced renal function was 19.6% among the elderly over 80 years old, and increased with age. Among those with reduced renal function, their awareness rate was 24.1% and the cure rate was 11.1%. Multivariate logistic regression analysis indicated that diabetes, age, hypertension, overweight or obesity were identified as independent risk factors associated with reduced renal function among the elderly. Conclusion Reduced renal function is quite common among the elderly