CAJ | 학술논문

目的调查单中心肾内科门诊慢性肾脏病(CKD)患者的基础状况,判断CKD患者肾功能下降的危险因素.方法对门诊就诊的CKD患者进行为期9个月的前瞻性横断面调查.结果共有780例CKD病例入选.前4位CKD的病因分别为原发性肾小球疾病(59.0%),高血压肾病(7.6%),狼疮肾炎(6.4%),糖尿病肾病(6.3%).病例平均年龄41.9岁.CKD各期的分布为CKD 1期47.8%、2期18.7%、3期14.0%、4期8.1%、5期11.4%.多因素回归提示年龄、蛋白尿、高血压与CKD患者的肾功能下降独立相关.结论目前针对中国CKD患者最大规模的单中心横断面调查,有助于确定CKD患者的基本状况,为进一步纵向随访奠定基础.
목적 조사단중심신내과문진만성신장병(CKD)환자적기출상황,판단CKD환자신공능하강적위험인소.방법 대문진취진적CKD환자진행위기9개월적전첨성횡단면조사.결과 공유780례CKD병례입선.전4위CKD적병인분별위원발성신소구질병(59.0%),고혈압신병(7.6%),랑창신염(6.4%),당뇨병신병(6.3%).병례평균년령41.9세.CKD각기적분포위CKD 1기47.8%、2기18.7%、3기14.0%、4기8.1%、5기11.4%.다인소회귀제시년령、단백뇨、고혈압여CKD환자적신공능하강독립상관.결론 목전침대중국CKD환자최대규모적단중심횡단면조사,유조우학정CKD환자적기본상황,위진일보종향수방전정기출.
Objective To present the baseline characteristics of serum uric acid level in patients with chronic kidney disease(CKD)in single.centre nephrology clinic and judge the risk factor for decreased renal function of CKD Datients.Methods A cross-sectional study on CKD patients in clinic was carried out for 9 months.Results 780 CKD cases were enrolled in the study.The top four causes of CKD in these patients were primary glomerular disease(59.0%),essential hypertension(7.6%),lupus nephritis(6.4%)and diabetic nephropathy(6.3%).The average age was 41.9.The distribution of CKD stage was 47.8%of CKD1,18.7%of CKD2,14.0%of CKD3,8.1% of CKD4 and 11.4%of CKD5.Multivariate Logistic regression regression analysis indicated that age,proteinuria,hypertension were independently correlated with decreased renal function.Conclusion This is the largest cross-sectional study of CKD in China,which will help to determine the basic status of Chinese CKD patients,laying a basis for further followup.