CAJ | 학술논문

目的探讨在偏远农村维吾尔族开展慢性肾脏病(CKD)流行病调查的方法 ,及了解新疆塔里木盆地墨玉县农村维吾尔族成人慢性肾脏病的患病率及相关危险因素.方法在预调查的基础上采用分层容量随机抽样方法 ,从墨玉县364个村抽取15个村18岁以上维吾尔族成人1650人,进行问卷调查、慢性肾损伤指标检测和相关危险因素调查.结果在资料完整的1552名维吾尔族成人中,白蛋向尿患病率为4.5%(95%CI为4.4～4.6),肾功能下降患病率为1.4%(95%CI为1.4～1.5).该人群CKD患病率为5.4%(95%CI为5.3～5.5).多因素Logistic回归提示高血压、年龄为CKD独立危险因素.结论获得了在偏远农村维吾尔族聚集地开展CKD调查的经验和方法 .墨玉县农村维吾尔族成人CKD患病率为5.4%,知晓率为12.5%,相关危险因素为高血压和年龄.
목적 탐토재편원농촌유오이족개전만성신장병(CKD)류행병조사적방법 ,급료해신강탑리목분지묵옥현농촌유오이족성인만성신장병적환병솔급상관위험인소.방법 재예조사적기출상채용분층용량수궤추양방법 ,종묵옥현364개촌추취15개촌18세이상유오이족성인1650인,진행문권조사、만성신손상지표검측화상관위험인소조사.결과 재자료완정적1552명유오이족성인중,백단향뇨환병솔위4.5%(95%CI위4.4～4.6),신공능하강환병솔위1.4%(95%CI위1.4～1.5).해인군CKD환병솔위5.4%(95%CI위5.3～5.5).다인소Logistic회귀제시고혈압、년령위CKD독립위험인소.결론 획득료재편원농촌유오이족취집지개전CKD조사적경험화방법 .묵옥현농촌유오이족성인CKD환병솔위5.4%,지효솔위12.5%,상관위험인소위고혈압화년령.
Objective To explore the method to carry out epidemiological investigation of chronic kidney disease (CKD) in rural area surrounding the Tarim Basin, and to elucidate the prevalence and risk factors associated with CKD among the Uygur adults in Moyu county. Methods A total of 1650 residents (age >18 years) from 15 villages in 3 rural town of Moyu county were randomly selected by using a stratified, multistage sampling. All the residents were interviewed and received physical examination and tested for random spot urine of albumin to creatinine ratio (ACR). Estimated glomerular filtration rate (eGFR) was calculated by modified factors of CKD were examined. Results Valid data of 1552 subjects were enrolled in the study. After the adjustment of age and gender component, the prevalence of albuminuria and reduced eGFR was 4.5% (95% CI 4.4-4.6) and 1.4% (95% CI 1.4-1.5) respectively. Approximately 5.4% subjects had at least one indicator of kidney damage. Age and hypertension were independently associated with CKD. Conclusions Experience and method of epidemiology investigation of CKD in the rural areas of Uygur are obtained through this study. The prevalence of CKD is 5.4% and the awareness is 12.5% in the Uygur adults of Moyu county. Independent risk factors associated with CKD are hypertension and age.