CAJ | 학술논문

目的：探讨慢性肾衰竭（CRF）患者常见病因及构成情况，为疾病的预防与防治提供基础依据。方法对2009年1月至2013年12月期间，首次在某院肾病内科住院的成年 CRF患者的病历资料进行回顾性分析。结果2011例CRF患者中40-59岁年龄组占41．78％，60岁及60岁以上年龄组占35．01％，40岁以下年龄组占23．22％；男性和女性患者在不同年龄分布的总体构成比的差异有统计学意义（α＜0．05）；慢性肾小球肾炎（31．23％）、糖尿病肾病（20．79％）、高血压肾病（12．63％）是罹患 CRF的前三位病因；CRF病因中，梗阻性肾病和狼疮性肾炎的男女比例与总体性别比例有差异，梗阻性肾病中男性患者高于女性患者，狼疮性肾炎中女性患者高于男性患者，差异均有统计学意义（α＜0．05）。结论慢性肾小球肾炎、糖尿病肾病、高血压肾病仍是罹患CRF的主要病因，但糖尿病肾病、高血压肾病所占比例较高；CRF的患病率和部分病因与年龄和性别有关。
목적：탐토만성신쇠갈（CRF）환자상견병인급구성정황，위질병적예방여방치제공기출의거。방법대2009년1월지2013년12월기간，수차재모원신병내과주원적성년 CRF환자적병력자료진행회고성분석。결과2011례CRF환자중40-59세년령조점41．78％，60세급60세이상년령조점35．01％，40세이하년령조점23．22％；남성화녀성환자재불동년령분포적총체구성비적차이유통계학의의（α＜0．05）；만성신소구신염（31．23％）、당뇨병신병（20．79％）、고혈압신병（12．63％）시리환 CRF적전삼위병인；CRF병인중，경조성신병화랑창성신염적남녀비례여총체성별비례유차이，경조성신병중남성환자고우녀성환자，랑창성신염중녀성환자고우남성환자，차이균유통계학의의（α＜0．05）。결론만성신소구신염、당뇨병신병、고혈압신병잉시리환CRF적주요병인，단당뇨병신병、고혈압신병소점비례교고；CRF적환병솔화부분병인여년령화성별유관。
Objective to investigate the common causes and composition of chronic renal failure (CRF)patients. Methods A retrospective analysis of medical records of all adult patients who firstly inpatients in a hospital with CRF from 2009 to 2013 in the Department of Nephrology.Results In the 2011 cases of CRF patients,the group of 40 to 59 years old accounted for 41.78%,aged 60 and above group accounted for 35.01%,the group of under the age of 40 years old accounted for 23.22%;The difference of the overall constitute ratio between male and female patients in different age distribution was statistically significant (α<0.05);Chronic glomerulonephritis,diabetic nephropathy,hypertensive nephropathy is a major cause of suffering from CRF,accounting for 31.23%,20.79% and 12.63% respectively.In the causes of CRF,there were differences between male and female with obstructive nephropathy and lupus nephritis and o-verall gender ratio,the rate of male patients is higher than female patients in the obstructive nephropathy.the rate of fe-male patients is higher than male patients in the lupus nephritis.The differences were statistically significant(α<0.05). Conclusion Chronic glomerulonephritis,diabetic nephropathy,hypertensive nephropathy were still the main cause of suffering from CRF,but diabetic nephropathy and hypertensive nephropathy had high proportion;The prevalence and part of the cause of CRF are associated with age and gender.