广州市36762名健康体检公务员慢性肾脏病患病情况及危险因素分析

目的 分析广州市健康体检公务员慢性肾脏病的患病情况及危险因素.方法 收集2019-01～2019-12在广州市干部健康管理中心进行健康体检的36762名公务员(含部分已离退公务员)的体检资料,依据体格检查及实验室检查结果,统计蛋白尿、血尿及慢性肾脏病检出率,分析慢性肾脏病相关危险因素.结果 36762名健康体检公务员蛋...

Analysis on the prevalence and risk factors of chronic kidney disease in 36762 civil servants receiving health examination in Guangzhou City

Objective To analyze the prevalence and risk factors of chronic kidney disease in civil servants receiving health examination in Guangzhou City.Methods The data of 36762 civil servants(including some retired civil servants)who underwent health examination in Guangzhou Cadre Health Management Center from January 2019 to December 2019 were collected.According to the results of the health examination and laboratory examination,the detection rates of proteinuria,hematuria and chronic kidney disease were calculated,and the risk factors related to chronic kidney disease were analyzed.Results The prevalence rates of proteinuria,hematuria and chronic kidney disease in the 36762 civil servants receiving health examination were 2.25%,3.26%and 7.04%respectively.Binary logistic regression analysis showed that advanced age(OR=3.042,95%CI=2.647-3.496),female(OR=1.412,95%CI=1.292-1.542),higher Body Mass Index(BMI)(OR=1.221,95%CI=1.079-1.381),hypertension(OR=1.883,95%CI=1.712-2.070),diabetes(OR=1.578,95%CI=1.409-1.766),hyperuricemia(OR=1.272,95%CI=1.169-1.385),renal structural dysfunction(OR=1.769,95%CI=1.617-1.936)were the risk factors of chronic kidney disease.Conclusion The prevalence of chronic kidney disease is relatively high in the civil servants receiving health examination in Guangzhou City,and health examination is an important way to screen out chronic kidney disease.Control of blood glucose,blood pressure and blood uric acid may help to reduce the incidence of chronic kidney disease.