郑州市老年人慢性肾脏疾病患病情况及危险因素的初步调查

目的 探讨郑州市老年人慢性肾脏病(CKD)的患病情况及其相关危险因素.方法 在郑州市区采用分层多阶段整群抽样的方法,抽取人民路社区、紫荆小区、国棉生活区和郑飞小区的常住居民1291例,进行CKD及相关危险因素的检测和问卷调查.结果 在资料完整的1247例居民中,经过人口年龄、性别构成比校正后,白蛋白尿、血尿和肾小球滤过率(eGFR)下降的患病率分别为13.3%、6.0%和2.0%,该人群CKD的患病率为17.5%.多因素Logistic回归显示,糖尿病、高血压和超体质量为CKD的独立危险因素.结论 郑州市老年人CKD的患病率高于非老年人.需采取积极的一、二级预防干预措施.

Investigation on the prevalence of chronic kidney disease and its related risk factors in the people aged 60 years or over in Zhengzhou

Objective To explore the prevalence of chronic kidney disease(CKD) and its related risk factors in the people aged 60 years or over in Zhengzhou.Methods One thousand two hundred and ninety-one residents aged 60 years or over were selected with stratified-multi-steps-cluster sampling method in 4 communities from 4 different districts in Zhengzhou city.The indicators of renal damage and its related factors were collected with questionnaires.Results Eligible data of 1247 subjects were collected.After adjustment for age and gender, the prevalence of albuminuria,hematuria and reduced eGFR were 13.3% ,6.0% and 2.0% respectively, and the prevalence of CKD was 17.5%.Multiple logistic regression analysis showed that hypertension, diabetes and overweight were independent risk factors for CKD.Conclusions The prevalence of chronic kidney disease in the urban people aged 60 years or over in Zhengzhou is higher than in the non-elderly people and preventive measures should be adopted.