长沙市城区老年人群慢性肾脏病流行病学调查

目的 调查长沙市城区65岁以上老年人群中慢性肾脏病（CKD）的患病情况。 方法 在长沙市6个市区采用多阶段抽样方法，选取65岁以上人群进行问卷调查、体格检查、肾损害有关指标、相关危险因素的检测。 结果 在最终获得的资料完整的1139例老年人中，蛋白尿、血尿和肾功能下降的患病率分别为5.44%、6.675%、19.75%，CKD的患病率为19.75 %，知晓率为14.66%。蛋白尿、血尿及eGFR下降的患病率均随着年龄增加而增加。logistics回归分析结果显示性别、年龄、高血压、高血脂与CKD独立相关。 结论 长沙城区65岁以上老年人群CKD患病率较高，知晓率较低，危险因素包括女性，年龄，高血压，高血脂。

Epidemiological survey of chronic kidney disease among urban elderly people,Changsha

Objective To investigate the epidemiology of chronic kidney disease (CKD) and related risk factors in the elderly population aged 65 and above in urban area of Changsha. Methods A total of 1440 residents aged 65 and above in six districts of Changsha were randomly recruited from the community population using multi-stage sampling method. All the residents were interviewed to accomplish questionnaire survey, physical examination, detection of renal injury indicator and relevant risk factors. Results Among the 1139 elderly patients with complete data, the prevalence of proteinuria, hematuria and reduced renal function were 5.44%, 6.675% and 19.75%, respectively, and the prevalence of CKD was 19.75%, and the awareness rate was 14.66%. The prevalence of proteinuria, hematuria, and decreased eGFR increased with age. The multivariate logistic regression analysis showed that independent risk factors associated with CKD were female, age, hypertension, and hyperlipidemia. Conclusion The prevalence of CKD in the elderly population aged 65 and above in the urban area of Changsha is high, but the awareness rate is low. The risk factors include female, age, hypertension, and hyperlipidemia.