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时间:2019-07-12
《湖南省长沙县慢性肾脏病的流行病学研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、万方数据·9··临床研究·湖南省长沙县慢性肾脏病的流行病学研究李瑛周乐天刘伏友李军彭佑铭杨丽君彭翔唐文彬何雅德吴静文彭金定王德军陈军【摘要】目的研究我国中南地区长沙县农村人群中慢性肾脏病(CKD)的患病情况及相关危险因素。方法在湖南省长沙县采用分层多级随机抽样的方法,抽取果园镇、安沙镇及干杉乡20岁以上的常住居民1950人,进行CKD及相关危险因素的问卷调查、体格检查和血尿检测。结果在资料完整的1727名居民中,经过人口年龄、性别构成比校正后,白蛋白尿的患病率为8.5%;血尿的患病率为5.1%;肾功能下降的患病率为1.5%。该人群CKD的患病率为14.6%,知晓
2、率为16.5%。多因素Logistic回归提示,年龄增加10岁、高胆固醇血症、高三酰甘油血症、高血压和糖尿病与自蛋白尿独立相关;女性、年龄增加10岁、高三酰甘油血症和高尿酸血症与肾功能下降独立相关;女性与血尿独立相关。结论在我国经济迅速发展的中南地区农村中,人群CKD的患病率为14.6%,知晓率为16.5%,CKD的疾病谱与我国大城市和发达国家类似。【关键词】肾疾病,慢性;普查;患病率;流行病学;乡村EpidemiologicstudyofchronickidneydiseaseinChangshacountyofHunanprovinceLIYiag,ZHOU
3、Le—tian,LIUFu—you,LIJun,PENGYou-ming,YANGLi-jun,PENGXiang,TANGWen—bin,HEYa—yi,WUJing-wen,PENG五n—ding,WANGDe0吼,CHENJut.DivisionofNephrology,ReseazchInstituteofNephrology,KeyLaboratoryofNephrologyandBloodPurificationinHunan,theSecondXiangyaHospital,CentralSouthUniversity,嘶地410011,China
4、Correspondingauthor:LIUFu—you,Email:lfy410@yahoo.com.cn【Abstract】ObjectiveToinvestigatetheprevalenceofchronickidneydisease(CKD)andassociatedfactorsinChangshacountyofHunanprovince.MethodsUsingastratified,multistagesampling,1950residents(olderthan20yearsold)from3townsofChangshacountywe
5、rerandomlyselectedtobeinterviewedandtestedforthekidneydamageindicatorsandtheassociatedfactorswithCKD.ResultsEligibledataof1727subjectswereenrolledinthestudy.Aftertheadjustmentofageandgendercomponent,theprevalenceofalbuminuriawas8.5%,hematuria5.1%,andreducedeGFR1.5%.Approximately14.6%
6、subjectshadatleastoneindicatorofkidneydamage,andtheawarenessratewas16.5%.Age,hypereholesteremia,hypertriglyceridemia,hypertensionanddiabeteswereindependentlycorrelatedwithalbuminuria.Female,age,hypertriglyeeridemiaandhyperttricemiawereindependentlycorrelatedwithreducedrenalfunction.F
7、emalewasindependentlycorrelatedwithhematuria.ConclusionsTheprevalenceofchronickidneydiseaseis14.6%andtheawarenessrateis16.5%insuburbanaduhpopulationofthecentralsouthareaofChina,ThespectrumandcorrelatedfactorsofCKDinthiscountyundergoingfastD01:10.3760/cma.j.issn.100l一7097.20lO.01。003基
8、金项目:。十一五”国家科
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