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目的研究驻马店市2013年慢性肾脏病(CKD)患者的人口资料及合并基础病症的流行病学调查分析。方法随机抽取本市2013年1658例常住居民为调查研究对象,通过问卷、交谈笔录等形式进行基本信息采集,并行肾脏功能相关指标检测和其他基础病症检查。结果该组共检测出135例CKD患者(8.14%),且CKD患者的体质量指数(BMI)、收缩压(SBP)、舒张压(DBP)、甘油三酯(TG)、胆固醇(TC)、空腹血糖(FBG)明显高于非CKD患者,估计肾小球过滤率(e GFR)低于非CKD患者,差异均具有统计学意义(P<0.05);CKD患者中男性发病率60.74%、≥40岁61.48%、肥胖57.78%、肺部感染占57.04%、高血压60.00%、糖尿病56.30%、贫血65.19%较女性39.26%、体重正常42.22%、无肺部感染42.96%、无高血压10.00%、无糖尿病43.70%、无贫血34.81%,比重明显较高,均具有统计学意义(P<0.05)。结论 CKD作为一种临床常见的肾脏慢性功能障碍性疾病,发病率较高,但调查显示市民对CKD认知明显滞后;性别、年龄、肥胖、高尿酸血症以及相关代谢综合症(血压、血糖、血脂)是慢性肾脏病的危险独立因素,男性、肥胖、贫血者、中老年人、有高血压糖尿病史和高尿酸血症、贫血的CKD发病率较高,可为临床防治慢性肾病提供可靠依据。
Objective To investigate the epidemiological analysis of population data and underlying diseases in chronic kidney disease (CKD) patients in Zhumadian City in 2013. Methods A total of 1,658 permanent residents in 2013 in our city were randomly selected as the research subjects. Basic information collection was conducted through questionnaires and transcripts, and other indexes related to renal function were examined in parallel with other basic diseases. Results A total of 135 CKD patients (8.14%) were detected in this study. Body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), triglyceride (TG), cholesterol (TC) The fasting blood glucose (FBG) was significantly higher than that of non-CKD patients. The estimated glomerular filtration rate (e GFR) was lower than that of non-CKD patients (P <0.05). The incidence of male patients with CKD was 60.74% 40.4 years old 61.48%, obesity 57.78%, pulmonary infection 57.04%, hypertension 60.00%, diabetes mellitus 56.30%, anemia 65.19% more than women 39.26%, normal weight 42.22%, no pulmonary infection 42.96%, no hypertension 10.00% , Without diabetes 43.70%, without anemia 34.81%, the proportion was significantly higher, both with statistical significance (P <0.05). Conclusions CKD is a common clinical chronic renal dysfunction disease with a high incidence. However, the survey shows that people have obvious lag in cognition of CKD. Gender, age, obesity, hyperuricemia and related metabolic syndrome (blood pressure, blood glucose , Blood fat) is an independent risk factor for chronic kidney disease. The prevalence of CKD in men, obesity, anemia, the elderly, hypertension with diabetes mellitus and hyperuricemia, and anemia is high, which may provide reliable evidence for clinical prevention and treatment of chronic kidney disease in accordance with.