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目的了解某后团65岁及以上老年人慢性肾脏病(CKD)的患病率及相关因素。方法兵团第四师65岁以上共2030名老年人,分布在6个社区。采用分层随机抽样方法,抽取2个社区334名65岁以上常住居民进行问卷调查,及肾损伤指标和相关因素的检测。结果在资料完整的329例居民中,经年龄校正后,清蛋白尿的患病率为22.2%,血尿的患病率为14.2%,肾功能下降的患病率为4.9%。该人群CKD的患病率为32.8%,以早期CKD 1~3期为主,知晓率为15.1%。多因素Logistic回归显示,与CKD相关的独立影响因素有性别、高血压。结论该兵团65岁以上老年人CKD患病率较高,相关因素为性别、高血压。
Objective To investigate the prevalence and related factors of chronic kidney disease (CKD) in the elderly patients aged 65 and over in a certain group. Method Corps Fourth Division 65 years old and a total of 2030 elderly people, distributed in 6 communities. A stratified random sampling method was used to collect 334 residents over the age of 65 in two communities for questionnaire survey and the indexes of renal injury and related factors. Results The age-adjusted prevalence of albuminuria was 22.2%, hematuria prevalence was 14.2%, and the prevalence of renal dysfunction was 4.9% among the 329 residents with complete data. The prevalence of CKD in this population was 32.8%. The prevalence of CKD in stage 1 to 3 was mainly 15.1%. Multivariate Logistic regression showed that the independent factors associated with CKD were gender and hypertension. Conclusions The Corps has a higher prevalence of CKD in the elderly over 65 years old, with related factors being gender and hypertension.