中国中西医结合肾病杂志
中國中西醫結閤腎病雜誌
중국중서의결합신병잡지
CHINESE JOURNAL OF INTEGRATED TRADITIONAL AND WESTERN NEPHROLOGY
2014年
10期
880-886
,共7页
谢伟基%张夏兰%廖翼曼%郑庭亮%苏鸿辉%杨镇胜%翁文娟%李晓武%林智郡
謝偉基%張夏蘭%廖翼曼%鄭庭亮%囌鴻輝%楊鎮勝%翁文娟%李曉武%林智郡
사위기%장하란%료익만%정정량%소홍휘%양진성%옹문연%리효무%림지군
慢性肾脏病%患病率%流行病学
慢性腎髒病%患病率%流行病學
만성신장병%환병솔%류행병학
Chronic kidney disease%Prevalence%Epidemiology
目的:探讨汕头地区在职人员慢性肾脏病(CKD)的患病率及危险因素。方法:对汕头地区7个行政区的7000名18岁~60岁的政府机关、学校、企事业单位、私人企业等干部进行问卷调查、肾脏损伤指标、肾脏结构及相关危险因素的检测。结果:在6895例资料完整的在职人员中,蛋白尿的患病率为2.36%,肾功能下降的患病率为2.67%,血尿患病率为8.79%,肾脏结构异常的患病率为5.79%。该人群中 CKD 的患病率为18.23%,CKD 的知晓率为5.8%。Logistic 回归分析提示,尿白细胞(OR 值=1.737,P =0.024)、血尿(OR 值=5.068,P <0.001)、血糖(OR 值=1.460,P <0.001)是蛋白尿产生的危险因素。但是尿蛋白(OR 值=5.011,P <0.001)、高密度脂蛋白(OR 值=2.542,P =0.003)、低密度脂蛋白(OR 值=6.780,P <0.001)与肾功能下降独立相关。结论:汕头地区在职人员 CKD 的患病率为18.23%,接近甚至高于国内的其他地区,相关危险因素包括尿蛋白、低密度脂蛋白以及肾结石。
目的:探討汕頭地區在職人員慢性腎髒病(CKD)的患病率及危險因素。方法:對汕頭地區7箇行政區的7000名18歲~60歲的政府機關、學校、企事業單位、私人企業等榦部進行問捲調查、腎髒損傷指標、腎髒結構及相關危險因素的檢測。結果:在6895例資料完整的在職人員中,蛋白尿的患病率為2.36%,腎功能下降的患病率為2.67%,血尿患病率為8.79%,腎髒結構異常的患病率為5.79%。該人群中 CKD 的患病率為18.23%,CKD 的知曉率為5.8%。Logistic 迴歸分析提示,尿白細胞(OR 值=1.737,P =0.024)、血尿(OR 值=5.068,P <0.001)、血糖(OR 值=1.460,P <0.001)是蛋白尿產生的危險因素。但是尿蛋白(OR 值=5.011,P <0.001)、高密度脂蛋白(OR 值=2.542,P =0.003)、低密度脂蛋白(OR 值=6.780,P <0.001)與腎功能下降獨立相關。結論:汕頭地區在職人員 CKD 的患病率為18.23%,接近甚至高于國內的其他地區,相關危險因素包括尿蛋白、低密度脂蛋白以及腎結石。
목적:탐토산두지구재직인원만성신장병(CKD)적환병솔급위험인소。방법:대산두지구7개행정구적7000명18세~60세적정부궤관、학교、기사업단위、사인기업등간부진행문권조사、신장손상지표、신장결구급상관위험인소적검측。결과:재6895례자료완정적재직인원중,단백뇨적환병솔위2.36%,신공능하강적환병솔위2.67%,혈뇨환병솔위8.79%,신장결구이상적환병솔위5.79%。해인군중 CKD 적환병솔위18.23%,CKD 적지효솔위5.8%。Logistic 회귀분석제시,뇨백세포(OR 치=1.737,P =0.024)、혈뇨(OR 치=5.068,P <0.001)、혈당(OR 치=1.460,P <0.001)시단백뇨산생적위험인소。단시뇨단백(OR 치=5.011,P <0.001)、고밀도지단백(OR 치=2.542,P =0.003)、저밀도지단백(OR 치=6.780,P <0.001)여신공능하강독립상관。결론:산두지구재직인원 CKD 적환병솔위18.23%,접근심지고우국내적기타지구,상관위험인소포괄뇨단백、저밀도지단백이급신결석。
Objective:To investigate the prevalence of kidney damage and risk factors in occupational populations in Shan-tou,a coastal city in Guangdong province. Methods:7 000 staffs work in government offices,schools,state enterprises and private enterprises of 7 disticts in Shantou were tested for proteinuria,hematuria by morning spot urine,reduced glomerular filtration rate. The associations among demographic characteristics,health characteristics,renal ultrasonography,and indicators of kidney damage were examined. Results:Totally 6 895 pepole finish the study,including 4 453 men,2 442 women,Proteinuria were detected in 2. 36% ,reduced renal function in 2. 67% ,hematuria in 8. 79% ,abnormalities in imaging tests in 5. 79% . 18. 23% of subjects had at least one indicator of kidney damage,but theawareness rate of CKD was only 5. 8% . Pyuria,hematuria,blood glocuse were inde-pendently associated with proteinuria. Proteinuria,HDL,LDL were independently associated with reduced renal function. Conclu-sion:The prevalence and risk factors of CKD in occupational populations in Shantou are higher than those of other city in China.