CAJ | 학술논문

目的了解慢性肾脏病(CKD)专业门诊老年患者的临床特点.方法分析2006年6月至2012年12月于北京大学第一医院肾内科CKD专业门诊就诊的老年CKD患者(年龄≥65岁)基线临床资料,以同期该专业门诊就诊的非老年CKD患者(18岁＜年龄≤65岁)为CKD对照组,以体检中心的非CKD老年人为老年非CKD对照组,分别比较上述人群在CKD病因、血压、贫血及钙磷代谢等方面的异同.结果高血压肾损害为老年CKD患者最常见病因.两组CKD患者高血压患病率无显著差异,但老年CKD患者以单纯收缩期高血压为主,治疗率及控制率均低于非老年CKD组.老年CKD患者贫血和钙磷代谢紊乱并发症的出现早于非老年CKD组,并显著高于老年非CKD对照组.结论老年CKD患者在病因及CKD常见并发症表现均与非老年CKD患者有所不同,对老年CKD患者应更早开始监测及干预CKD的相关并发症.
목적 료해만성신장병(CKD)전업문진노년환자적림상특점.방법 분석2006년6월지2012년12월우북경대학제일의원신내과CKD전업문진취진적노년CKD환자(년령≥65세)기선림상자료,이동기해전업문진취진적비노년CKD환자(18세＜년령≤65세)위CKD대조조,이체검중심적비CKD노년인위노년비CKD대조조,분별비교상술인군재CKD병인、혈압、빈혈급개린대사등방면적이동.결과 고혈압신손해위노년CKD환자최상견병인.량조CKD환자고혈압환병솔무현저차이,단노년CKD환자이단순수축기고혈압위주,치료솔급공제솔균저우비노년CKD조.노년CKD환자빈혈화개린대사문란병발증적출현조우비노년CKD조,병현저고우노년비CKD대조조.결론 노년CKD환자재병인급CKD상견병발증표현균여비노년CKD환자유소불동,대노년CKD환자응경조개시감측급간예CKD적상관병발증.
Objective To analyze the baseline clinical characteristics of the chronic kidney disease (CKD) in aged people in the clinic.Methods Patients aged 18 years or older in our CKD clinic from October 2003 to December 2012 were included in this study.According to their age patients were divided into 2 groups:aged CKD group:aged 65 or older and non-aged CKD group:younger than 65.A group of the elderly without CKD from health screening program were selected as aged non-CKD control group.Causes,distributions of stages and complications of CKD in three groups were analyzed.Results The major cause of the elderly CKD was hypertension,different from that of younger CKD.The distribution of CKD stage in the elderly was mainly in the G3b stage,different from that in the younger.Anemia and mineral bone disease presented in earlier CKD stage in the aged CKD patients and the prevalence was higher than in the aged non-CKD group.The prevalence of hypertension had no statistical difference between the two CKD groups,but hypertension control rate was lower in aged CKD patients.Conclusions The clinical characteristics including causes and renal stage are different between the young and aged CKD patients.Complications such as anemia and mineral bone disease presents in earlier renal stage in aged CKD patients which means we should monitor and interfere earlier.