江苏预防医学
江囌預防醫學
강소예방의학
JIANGSU JOURNAL OF PREVENTIVE MEDICINE
2015年
3期
18-20
,共3页
孙莉莉%石月%丁昕%李胜开%吴秀娟%徐莉春%张训保
孫莉莉%石月%丁昕%李勝開%吳秀娟%徐莉春%張訓保
손리리%석월%정흔%리성개%오수연%서리춘%장훈보
慢性肾功能衰竭%影响因素%配对病例对照研究
慢性腎功能衰竭%影響因素%配對病例對照研究
만성신공능쇠갈%영향인소%배대병례대조연구
Chronic renal failure%Influencing factors%Matched case-control study
目的:探讨慢性肾功能衰竭的影响因素,为制定防制策略提供依据。方法采用1∶3病例对照研究,使用自行设计的调查问卷对140例新发慢性肾功能衰竭患者及420例对照进行调查。结果经单因素 logistic 分析,筛选出12个变量与慢性肾功能衰竭有关联,包括个人年收入、高血压病史、性格等,将这12个变量纳入模型进行多因素 logistic 分析表明,患有高血压(OR=11.417)、糖尿病(OR =4.105)、有高血压家族史(OR =3.002)、个人收入越高(OR =2.105)、性格急躁(OR =1.838)的人群患慢性肾功能衰竭的危险性较大(P 值均<0.05),而经常进行体育锻炼(OR =0.477)、居住在城镇较农村(OR=0.299)的居民患慢性肾功能衰竭的危险性较小(P 值均<0.05)。结论农村高血压、糖尿病患者为慢性肾功能衰竭高危人群,应对高血压、糖尿病患者开展针对性的干预措施,预防慢性肾功能衰竭的发生。
目的:探討慢性腎功能衰竭的影響因素,為製定防製策略提供依據。方法採用1∶3病例對照研究,使用自行設計的調查問捲對140例新髮慢性腎功能衰竭患者及420例對照進行調查。結果經單因素 logistic 分析,篩選齣12箇變量與慢性腎功能衰竭有關聯,包括箇人年收入、高血壓病史、性格等,將這12箇變量納入模型進行多因素 logistic 分析錶明,患有高血壓(OR=11.417)、糖尿病(OR =4.105)、有高血壓傢族史(OR =3.002)、箇人收入越高(OR =2.105)、性格急躁(OR =1.838)的人群患慢性腎功能衰竭的危險性較大(P 值均<0.05),而經常進行體育鍛煉(OR =0.477)、居住在城鎮較農村(OR=0.299)的居民患慢性腎功能衰竭的危險性較小(P 值均<0.05)。結論農村高血壓、糖尿病患者為慢性腎功能衰竭高危人群,應對高血壓、糖尿病患者開展針對性的榦預措施,預防慢性腎功能衰竭的髮生。
목적:탐토만성신공능쇠갈적영향인소,위제정방제책략제공의거。방법채용1∶3병례대조연구,사용자행설계적조사문권대140례신발만성신공능쇠갈환자급420례대조진행조사。결과경단인소 logistic 분석,사선출12개변량여만성신공능쇠갈유관련,포괄개인년수입、고혈압병사、성격등,장저12개변량납입모형진행다인소 logistic 분석표명,환유고혈압(OR=11.417)、당뇨병(OR =4.105)、유고혈압가족사(OR =3.002)、개인수입월고(OR =2.105)、성격급조(OR =1.838)적인군환만성신공능쇠갈적위험성교대(P 치균<0.05),이경상진행체육단련(OR =0.477)、거주재성진교농촌(OR=0.299)적거민환만성신공능쇠갈적위험성교소(P 치균<0.05)。결론농촌고혈압、당뇨병환자위만성신공능쇠갈고위인군,응대고혈압、당뇨병환자개전침대성적간예조시,예방만성신공능쇠갈적발생。
Objective To investigate influencing factors of chronic renal failure;to provide scientific basis for making pre-vention and treatment strategies.Methods A total of 140 newly identified chronic renal failure cases and 420 control subjects were recruited in a 1∶3 matched case-control study,in which self-designed questionnaires were used for survey.Results Univa-riate logistic regression analysis identified 12 variables associated with chronic renal failure,including personal annual income, history of hypertension,characters etc.Multivariate logistic analysis including above variables demonstrated that people with hypertension(OR=11.417),diabetes(OR=4.105),family history of hypertension(OR=3.002),high personal income(OR=2.105)or impatient character (OR = 1.838)had higher risk of chronic renal failure(all P < 0.05);people who had regular physical exercise(OR=0.477)or resided in urban area(OR=0.299)had lower risk of chronic renal failure(all P <0.05),Con-clusion People with hypertension or diabetes residing in rural areas were high risk population of chronic renal failure.In order to prevent chronic renal failure,targeted intervention measures should be implemented among people suffered from hyperten-sion or diabetes.