湖南慢性肾脏病流行病学调查-湖南师范大学学报医学版.PDF

- 180 - 学报（医学版），2018，15（3）　J Hunan Normal Univ(Med Sci) 湖南省慢性肾脏病流行病学调查 李　燕，杨海蓉，贺　艳 ，刘宏敏 ，谌　平，王湘川 （湖南师范大学第二附属医院，解放军第13 医院肾内科，长沙  10003 ） 【摘要 】目的：调查研究湖南省成年人慢性肾脏病（CKD）的患病率及其相关的危险因素。方法：运用横断面研 究，采取多阶段抽样的方法，对抽取的湖南省的5 个城市的部分18 岁及以上居民进行问卷调查、体格检查及实验 室检查。结果：湖南省成年人群中CKD 的患病率为10.81% ，随着年龄的增长呈上升趋势，CKD 人群的知晓率约为 20.8%；其中蛋白尿的检出率为1.85% ，男性高于女性，且随着年龄的增长而升高；血尿检出率为.0% ，女性高于 男性，不同年龄段差异具有统计学意义；肾功能下降eGRF ＜0mL/min/ 1.3m2 的检出率为2.5% ，不同性别及不 同年龄段差异具有显著的统计学意义。多因素Logistic 回归分析结果显示：年龄、高收缩压、糖尿病与CKD 密切相 关。结论：湖南省成年人群的慢性肾脏病（CKD）的患病率与全国成年人群CKD 的患病率相仿，年龄、高收缩压、糖 尿病与CKD 密切相关。 【关键词 】湖南省；慢性肾脏病；患病率；流行病学 【中图分类号 】R2 ；R181.3　　【文献标识码 】A　　【文章编号 】13-0 1X （20 18）03-0 180-0 The epidemiological investigation of Chronic kidney disease in Hunan province Li Yan, Yang Hai-rong, He Yan, Liu Hong-min, Chen Ping, Wang Xiang-chuan (The Second Aff iliated Hosp ital of Hunan Normal University, The 163 Hosp ital of the Peop le ’s Liberation Army of China, Changsha 410003, China) [Abstract] Objective To investigate the prevalence and risk factors of chronic kidney disease (CKD) among adults in Hu- nan Province. Methods Using cross-sectional study, take the method of multistage sampling, the survey was performed in part of residents (aged ≥18 years) from 5 cities of Hunan Province, data was obtained by questionnaire of risk factors of CKD, physi- cal examination, and laboratory examination. Results The prevalence of chronic kidney disease in Hunan province was 10.81%, it increased with the growth of the age, the awareness rate among CKD population was 20.8%. The prevalence of albuminuria was 1.85%, and the prevalence of albuminuria in males were significantly higher than females, and it increased with age; The prevalence of hematuria was 7.40%, females were higher than males, there was a