CAJ | 학술논문

目的：为探索如何更好的在社区防治慢性肾脏病（ CKD）。方法：筛选在我院社区门诊就诊的慢性肾脏病高危人群，符合慢性肾脏病诊断的病例有273例，其中男性112例，女性161例，平均年龄78．6±6．2岁。转诊到我院肾内科治疗共96例，留在社区指导的有177例，观察比较二组病情归转状态。结果：跟踪随访CKD患者两组比较发现：病情改善以医院组明显（70．8％）；社区组为25．4％；病情稳定以社区组为明显54．2％，医院组为21．9％；而病情恶化组以社区组20．3％，医院组为7．3％，两组之间的差异具有明显统计学差异。结论：社区人群的CKD患者如能通过全科医生对此类人群早期筛查，早期干预，及时的转诊，同时给予规范的健康管理，将能大大延缓和控制CKD的病情，相应遏制由此产生的巨额医疗资源的消耗。
목적：위탐색여하경호적재사구방치만성신장병（ CKD）。방법：사선재아원사구문진취진적만성신장병고위인군，부합만성신장병진단적병례유273례，기중남성112례，녀성161례，평균년령78．6±6．2세。전진도아원신내과치료공96례，류재사구지도적유177례，관찰비교이조병정귀전상태。결과：근종수방CKD환자량조비교발현：병정개선이의원조명현（70．8％）；사구조위25．4％；병정은정이사구조위명현54．2％，의원조위21．9％；이병정악화조이사구조20．3％，의원조위7．3％，량조지간적차이구유명현통계학차이。결론：사구인군적CKD환자여능통과전과의생대차류인군조기사사，조기간예，급시적전진，동시급여규범적건강관리，장능대대연완화공제CKD적병정，상응알제유차산생적거액의료자원적소모。
Objective: To improve the prevention and treatment of chronic kidney disease (CKD) incommunity.Method: 273 patients(112males and 161 females) with mean age 78.6±6.2, met the diagnosticcriteria for CKD by screening in community clinic high risk population .There were 96patients treated innephrology department(group A), while 177 patients treated in community(group B).To observe therapeuticsituations in the two groups.Result: After following up the two groups , the disease-improvement rate ingroup A was 70.8% and 25.4% in group B.The stable disease rate in group A was 54.2% and 21.9% ingroup B.The clinic exacerbation rate in group A was 20.3%and 7.3%in group B.So the two groups had significantdifference statistically.Conclusion: If general practitioners provide CKD patients in community withearly screening, intervention and timely referral , CKD can be greatly slowed down or controlled, thus to reducehuge consumption of medical resources.