| 史亚男,周晶晶,刘聪慧,李忠心,孙倩美.社区老年人慢性肾脏病患病率调查及其危险因素分析[J].,2020,(13):2488-2491 |
| 社区老年人慢性肾脏病患病率调查及其危险因素分析 |
| Prevalence and Risk Factors of Chronic Kidney Disease Among the Elderly in a Community |
| 投稿时间：2020-02-23 修订日期：2020-03-17 |
| DOI：10.13241/j.cnki.pmb.2020.13.018 |
| 中文关键词: 慢性肾脏病 老年 患病率 危险因素 流行病学 |
| 英文关键词: Chronic kidney disease Eldly Prevalence Risk factors Epidemiology |
| 基金项目:北京市自然科学基金项目（6832236） |
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| 中文摘要: |
| 摘要 目的：调查北京市通州区永顺社区老年人的慢性肾脏病（CKD）患病率，并分析其危险因素。方法：采用横断面调查方法，对该社区长期居住的65岁及以上的通州区户籍老年人进行问卷调查、肾脏损伤指标及其他实验室指标的检测，收集资料并分析CKD患病的危险因素。结果：本次调查共获得948例该社区常住老年人的完整资料，参与研究的老年人平均年龄为70.86±4.89岁；镜下血尿患病率为9.39%，白蛋白尿患病率为22.15%，5.70%的老年人出现肾功能下降，该人群中CKD患病率为36.81%（349/948）。单因素分析结果显示，两组吸烟史、饮酒史、血肌酐、体质量指数（BMI）、尿微量白蛋白肌酐比（ACR）、糖尿病、甘油三酯、总胆固醇及血尿酸水平对比无显著性差异（P>0.05），而CKD组较非CKD组年龄更大、合并高血压的比例更高、女性占比更高（P<0.05），多因素logistic回归分析显示年龄、女性与高血压是通州区永顺社区老年人CKD患病的危险因素（OR=1.432、1.163、1.335，P<0.05）。结论：北京市通州区永顺社区老年人CKD患病率较高，其危险因素为年龄、女性与高血压。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the prevalence and risk factors of chronic kidney disease (CKD) among the elderly in Yongshun community, Tongzhou District, Beijing. Methods: The cross-sectional survey method was used to investigate the elderly with permanent residence in Tongzhou District who were ≥65 years old and to test the indexes of kidney injury and other laboratory indexes, collected datas and analyzed the risk factors of CKD. Results: A total of 948 elderly permanent residents'datas in the community were obtained in this survey, the average age of the elderly in the study was 70.86±4.89 years old. By the results of examination under the microscope, the prevalence of hematuria was 9.39%, the prevalence of albuminuria was 22.15% and 5.70% of the elderly had decreased renal function, the prevalence of CKD in this population was 36.81%(349/948). The results of univariate analysis showed that there was no significant difference in smoking history, drinking history, serum creatinine, body mass index(BMI), urinary microalbumin to creatinine ratio(ACR), diabetes mellitus, triglyceride, total cholesterol and serum uric acid between the two groups(P>0.05), while the patients in the CKD group was older than the non CKD group, with higher proportion of hypertension and higher proportion of women(P<0.05), multivariate logistic regression analysis showed that age, female and hypertension were the risk factors of CKD in the elderly in Yongshun community, Tongzhou District(OR=1.432, 1.163, 1.335, P<0.05). Conclusion: The prevalence of CKD is higher among the elderly in Yongshun community, Tongzhou District, Beijing and the risk factors were age, female and hypertension. |
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