国际生物医学工程杂志
國際生物醫學工程雜誌
국제생물의학공정잡지
International Journal of Biomedical Engineering
2015年
4期
218-221
,共4页
王启鹏%贾国瑜%董洪%刘建香
王啟鵬%賈國瑜%董洪%劉建香
왕계붕%가국유%동홍%류건향
社会经济地位%糖尿病肾病%血液透析%死亡率
社會經濟地位%糖尿病腎病%血液透析%死亡率
사회경제지위%당뇨병신병%혈액투석%사망솔
Socioeconomic status%Diabetic kidney disease%Hemodialysis%Mortality
目的 通过采用回顾性队列研究的方法,探讨糖尿病肾脏病(DKD)透析患者社会经济地位(SES)与死亡率的相关性.方法 回顾性查阅2006年1月至2010年3月在天津市第四中心医院进行透析的DKD患者病例资料,调查受试对象的SES(受教育程度、家庭成员平均月收入、职业类型),按SES高低将其分为2组,比较2组第1年、第3年、第5年的死亡率,计算相对危险度(RR)、归因危险度(AR)、归因危险度百分比(ARP),并分析SES与各变量的相关性.结果 2组间年龄、性别、糖尿病病程、肾病病程等基线一致,具有可比性.低SES组第1年死亡的RR=1.08,AR=1.5%,ARP=8.1%;第3年死亡的RR=1.38,AR=10.9%,ARP=27.6%;第5年死亡的RR=1.57,A R=24.5%,ARP=36.4%.相关分析显示SES总分与身体质量指数(BMI)、糖化血红蛋白(HbA1c)、C-反应蛋白(CRP)呈负相关(r分别为-0.542、-0.314、-0.392,均P<0.01),与血清白蛋白(ALB)、生理机能、一般健康状况、社会功能、情感职能、精神健康得分呈正相关(r分别为0.539、0.243、0.254、0.268、0.253、0.255,均P<0.01).结论 SES可能是DKD患者死亡的的重要社会学病因,分析其可能通过影响患者生活质量、血糖控制水平、营养及炎症状态而影响DKD透析患者的长期生存率.
目的 通過採用迴顧性隊列研究的方法,探討糖尿病腎髒病(DKD)透析患者社會經濟地位(SES)與死亡率的相關性.方法 迴顧性查閱2006年1月至2010年3月在天津市第四中心醫院進行透析的DKD患者病例資料,調查受試對象的SES(受教育程度、傢庭成員平均月收入、職業類型),按SES高低將其分為2組,比較2組第1年、第3年、第5年的死亡率,計算相對危險度(RR)、歸因危險度(AR)、歸因危險度百分比(ARP),併分析SES與各變量的相關性.結果 2組間年齡、性彆、糖尿病病程、腎病病程等基線一緻,具有可比性.低SES組第1年死亡的RR=1.08,AR=1.5%,ARP=8.1%;第3年死亡的RR=1.38,AR=10.9%,ARP=27.6%;第5年死亡的RR=1.57,A R=24.5%,ARP=36.4%.相關分析顯示SES總分與身體質量指數(BMI)、糖化血紅蛋白(HbA1c)、C-反應蛋白(CRP)呈負相關(r分彆為-0.542、-0.314、-0.392,均P<0.01),與血清白蛋白(ALB)、生理機能、一般健康狀況、社會功能、情感職能、精神健康得分呈正相關(r分彆為0.539、0.243、0.254、0.268、0.253、0.255,均P<0.01).結論 SES可能是DKD患者死亡的的重要社會學病因,分析其可能通過影響患者生活質量、血糖控製水平、營養及炎癥狀態而影響DKD透析患者的長期生存率.
목적 통과채용회고성대렬연구적방법,탐토당뇨병신장병(DKD)투석환자사회경제지위(SES)여사망솔적상관성.방법 회고성사열2006년1월지2010년3월재천진시제사중심의원진행투석적DKD환자병례자료,조사수시대상적SES(수교육정도、가정성원평균월수입、직업류형),안SES고저장기분위2조,비교2조제1년、제3년、제5년적사망솔,계산상대위험도(RR)、귀인위험도(AR)、귀인위험도백분비(ARP),병분석SES여각변량적상관성.결과 2조간년령、성별、당뇨병병정、신병병정등기선일치,구유가비성.저SES조제1년사망적RR=1.08,AR=1.5%,ARP=8.1%;제3년사망적RR=1.38,AR=10.9%,ARP=27.6%;제5년사망적RR=1.57,A R=24.5%,ARP=36.4%.상관분석현시SES총분여신체질량지수(BMI)、당화혈홍단백(HbA1c)、C-반응단백(CRP)정부상관(r분별위-0.542、-0.314、-0.392,균P<0.01),여혈청백단백(ALB)、생리궤능、일반건강상황、사회공능、정감직능、정신건강득분정정상관(r분별위0.539、0.243、0.254、0.268、0.253、0.255,균P<0.01).결론 SES가능시DKD환자사망적적중요사회학병인,분석기가능통과영향환자생활질량、혈당공제수평、영양급염증상태이영향DKD투석환자적장기생존솔.
Objective To explore the correlation between socioeconomic status (SES) and mortality of patients with diabetic kidney disease (DKD) on hemodialysis by using a retrospective cohort study.Methods Cases with DKD on hemodialysis in the Fourth Central Hospital of Tianjin from Jan.2006 to Mar.2010 were retrospectively reviewed.SES, including education, the average monthly income of household members, occupation type, was surveyed among all the patients.According to the SES, the patients were divided into two groups.The 1-year, 3-year, and 5-year mortality rates of the two groups were compared respectively.Relative risk (RR), attributable risk (AR) and attributable risk percentage (ARP) were calculated.Further, the relevance of SES and other variables were analyzed.Results The baseline of two groups in age, sex, duration of diabetes, kidney disease progression was consistent and comparable.In the low SES group, 1-year death RR was 1.08, AR was 1.5% and ARP was 8.1%.Three-year death RR was 1.38, AR was 10.9% and ARP was 27.6%.Five-year death RR was 1.57, AR was 24.5% and ARP was 36.4%.Correlation analysis showed that SES scores were negatively correlated to body mass index (BMI), glycated hemoglobin (HbA1c) and C-reactive protein (CRP) (r=-0.542,-0.314,-0.392, P<0.01), while SES scores were positively correlated to serum albumin (ALB), physiological function, general health, social function, emotional function and mental health scores (r=0.539, 0.243, 0.254, 0.268, 0.253, 0.255, P<0.01).Conclusions SES is an important social-influencing factor of mortality in patients with DKD,and may have effects on long-term survival of hemodialysis patients by influencing the quality of life, glycemic control, nutrition and inflammation.