CAJ | 학술논문

湖南省长沙县慢性肾脏病的流行病学研究
호남성장사현만성신장병적류행병학연구
Epidemiologic study of chronic kidney disease in Changsha county of Hunan province

万方数据

中华肾脏病杂志中華腎髒病雜誌 중화신장병잡지

2010年 1期 9-14 ,共6页

李瑛%周乐天%刘伏友%李军%彭佑铭%杨丽君%彭翔%唐文彬%何雅億%吴静文%彭金定%王德军%陈军

리영%주악천%류복우%리군%팽우명%양려군%팽상%당문빈%하아억%오정문%팽금정%왕덕군%진군

肾疾病,慢性%普查%患病率%流行病学%乡村腎疾病,慢性%普查%患病率%流行病學%鄉村
신질병,만성%보사%환병솔%류행병학%향촌
Kidney disease,chronic%Mass screening%Prevalence%Epidemiology%Village

目的研究我国中南地区长沙县农村人群中慢性肾脏病(CKD)的患病情况及相关危险因素.方法在湖南省长沙县采用分层多级随机抽样的方法,抽取果园镇、安沙镇及干杉乡20岁以上的常住居民1950人,进行CKD及相关危险因素的问卷调查、体格检查和血尿检测.结果在资料完整的1727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8.5%;血尿的患病率为5.1%;肾功能下降的患病率为1.5%.该人群CKD的患病率为14.6%,知晓率为16.5%.多因素Logistic回归提示,年龄增加10岁、高胆固醇血症、高三酰甘油血症、高血压和糖尿病与白蛋白尿独立相关;女性、年龄增加10岁、高三酰甘油血症和高尿酸血症与肾功能下降独立相关;女性与血尿独立相关.结论在我国经济迅速发展的中南地区农村中,人群CKD的患病率为14.6%,知晓率为16.5%,CKD的疾病谱与我国大城市和发达国家类似.
목적 연구아국중남지구장사현농촌인군중만성신장병(CKD)적환병정황급상관위험인소.방법 재호남성장사현채용분층다급수궤추양적방법,추취과완진、안사진급간삼향20세이상적상주거민1950인,진행CKD급상관위험인소적문권조사、체격검사화혈뇨검측.결과 재자료완정적1727명거민중,경과인구년령、성별구성비교정후,백단백뇨적환병솔위8.5%;혈뇨적환병솔위5.1%;신공능하강적환병솔위1.5%.해인군CKD적환병솔위14.6%,지효솔위16.5%.다인소Logistic회귀제시,년령증가10세、고담고순혈증、고삼선감유혈증、고혈압화당뇨병여백단백뇨독립상관;녀성、년령증가10세、고삼선감유혈증화고뇨산혈증여신공능하강독립상관;녀성여혈뇨독립상관.결론 재아국경제신속발전적중남지구농촌중,인군CKD적환병솔위14.6%,지효솔위16.5%,CKD적질병보여아국대성시화발체국가유사.
Objective To investigate the prevalence of chronic kidney disease (CKD) and associated factors in Changsha county of Hunan province. Methods Using a stratified, multistage sampling, 1950 residents (older than 20 years old) from 3 towns of Changsha county were randomly selected to be interviewed and tested for the kidney damage indicators and the associated factors with CKD. Results Eligible data of 1727 subjects were enrolled in the study. After the adjustment of age and gender compenent, the prevalence of albuminuria was 8.5%, hematuria 5.1%, and reduced eGFR 1.5%. Approximately 14.6% subjects had at least one indicator of kidney damage, and the awareness rate was 16.5%. Age, hypercholesteremia, hypertriglyceridemia, hypertension and diabetes were independently correlated with albuminuria. Female, age, hypertriglyceridemia and hyperuricemia were independently correlated with reduced renal function. Female was independently correlated with hematuria. Conclusions The prevalence of chronic kidney disease is 14.6% and the awareness rate is 16.5% in suburban adult population of the central south area of China. The spectrum and correlated factors of CKD in this county undergoing fast economic development are close to those of Guangzhou and developed countries.