CAJ | 학술논문

目的研究崇明地区中老年人群慢性肾脏病的患病率及其相关危险因素。方法2011年9月至2012年3月崇明地区城桥镇城乡交界的社区40～70岁常住居民1358人，进行慢性肾脏病及相关危险因素的问卷调查、体格检查、实验室检查采集相关数据。对于被调查者如出现下列情况：尿蛋白阳性、镜下血尿、血肌酐≥110 mmol/L、血尿酸男≥0.42μmol/L、女≥0.36μmol/L，3个月后至医院复查。结果在1092例资料完整的居民中，白蛋白尿、血尿、肾功能下降的患病率分别10.7％、2.2％、1.0％。该人群慢性肾脏病患病率为13.2％，知晓率为17.3％。经多因素Logistic回归提示：高尿酸血症、高血压、糖尿病、性别、年龄为慢性肾脏病独立相关因素。结论在上海崇明慢性肾脏病的患病率为13.2％，知晓率为17.3％。高尿酸血症、高血压、糖尿病、性别、年龄为慢性肾脏病独立影响因素。
목적연구숭명지구중노년인군만성신장병적환병솔급기상관위험인소。방법2011년9월지2012년3월숭명지구성교진성향교계적사구40～70세상주거민1358인，진행만성신장병급상관위험인소적문권조사、체격검사、실험실검사채집상관수거。대우피조사자여출현하렬정황：뇨단백양성、경하혈뇨、혈기항≥110 mmol/L、혈뇨산남≥0.42μmol/L、녀≥0.36μmol/L，3개월후지의원복사。결과재1092례자료완정적거민중，백단백뇨、혈뇨、신공능하강적환병솔분별10.7％、2.2％、1.0％。해인군만성신장병환병솔위13.2％，지효솔위17.3％。경다인소Logistic회귀제시：고뇨산혈증、고혈압、당뇨병、성별、년령위만성신장병독립상관인소。결론재상해숭명만성신장병적환병솔위13.2％，지효솔위17.3％。고뇨산혈증、고혈압、당뇨병、성별、년령위만성신장병독립영향인소。
Objective To investigate the prevalence of chronic kidney disease ( CKD ) and associated risk factors in the elderly population of Chongming .Methods 1358 permanent residents ranging from 40 to 70 years old who lived in urban fringe area of Chengqiao Town ,Chongming City were enrolled in this study during September 2011 to March 2012.Data were collected through questionnaires,physical examination,and laboratory tests.If any of the following were positive:urinary protein test,microscopic haematuria,serum creatinine≥110 mmol/L,or serum uric acid:≥0.42 μmol/L ( male ) , or≥0.36 μmol/L ( female ) .The patient would required to be re-examined after 3 months.Results Among the 1092 residents with complete data ,the occurence rates of albuminuria ,hematuria,and decreased renal function were 10.7%,2.2%and 1%,respectively.The overall prevalence rate of CKD was 13.2%, however the awareness rate in these CKD patients was only 17.3%.Through multifactor logistic regression analysis , hyperuricemia,hypertension,diabetes,gender,and every 10 years of age increasement were identified as independent risk factors associated with CKD .Conclusion The prevalence rate of CKD in Chongming Shanghai is 13.2%, however the awareness rate was very low .Hyperuricemia,hypertension,diabetes,gender,aging are independent risk factors associated with CKD .