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目的了解上海浦东新区部分社区人群中慢性肾脏病(CKD)的患病率以及CKD的危险因素。方法在浦东新区梅园街道,随机抽取20岁以上成年人共520名,填写调查问卷表并进行体格检查和实验室检查测得尿白蛋白/肌酐比值、尿常规和血肌酐、葡萄糖、血脂。以简化MDRD公式计算估计肾小球滤过率(eGFR)。应用SPSS11.5统计分析软件进行统计学分析。结果504名居民资料完整,经年龄性别标化后白蛋白尿的患病率是6.76%,血尿的患病率为2.82%,eGFR<60 mL/min的患病率为1.25%。按K/DOQI诊断标准,CKD的患病率为8.94%,CKD的知晓率为36.14%。Logistic回归分析显示,高血压、糖尿病、年龄是白蛋白尿的独立危险因素,年龄、高血压、糖尿病是CKD的危险因素。结论上海浦东梅园社区人群CKD的患病率8.94%,CKD的知晓率为36.14%。CKD的危险因素包括高血压、高血糖、高三酰甘油血症、年龄等。
Objective To understand the prevalence of chronic kidney disease (CKD) and the risk factors of CKD in some community groups in Shanghai Pudong New Area. Methods A total of 520 adults over the age of 20 were randomly selected from Panyuan streets of Pudong New Area to fill in the questionnaire and to examine the urinary albumin / creatinine ratio, urine routine, serum creatinine, glucose and blood lipid in physical examination and laboratory tests. Estimates of glomerular filtration rate (eGFR) were calculated using simplified MDRD formulas. SPSS11.5 statistical analysis software for statistical analysis. Results The data of 504 residents were complete. The age-standardized prevalence of albuminuria was 6.76%, the prevalence of hematuria was 2.82%, and the prevalence of eGFR <60 mL / min was 1.25%. According to the K / DOQI diagnostic criteria, the prevalence of CKD was 8.94% and the awareness rate of CKD was 36.14%. Logistic regression analysis showed that hypertension, diabetes and age were independent risk factors of albuminuria. Age, hypertension and diabetes were the risk factors of CKD. Conclusion The prevalence of CKD was 8.94% and the awareness rate of CKD was 36.14% in Meiyuan community of Shanghai Pudong. The risk factors for CKD include hypertension, hyperglycemia, hypertriglyceridemia, age and so on.