| 周晓燕,赵琦,王娜,王瑞平,张越,郁雨婷,姜永根,赵根明.上海市松江区某社区成年人慢性肾病流行现况调查[J].Chinese journal of Epidemiology,2018,39(12):1555-1559 |
| 上海市松江区某社区成年人慢性肾病流行现况调查 |
| Epidemiological features of adult chronic kidney diseases in a community-based population in Songjiang district, Shanghai |
| Received:April 02, 2018 |
| DOI：10.3760/cma.j.issn.0254-6450.2018.12.004 |
| KeyWord: 肾脏病 患病率 相关因素 流行病学 横断面研究 |
| English Key Word: Kidney disease Prevalence Associated factors Epidemiology Cross-sectional studies |
| FundProject:上海市高峰计划公共卫生与预防医学重点学科建设项目；国家重点研发计划精准医学重点专项（2017YFC0907001） |
| Author Name | Affiliation | E-mail | | Zhou Xiaoyan | Key Laboratory of Public Health Safety, Ministry of Education, Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China | | | Zhao Qi | Key Laboratory of Public Health Safety, Ministry of Education, Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China | | | Wang Na | Key Laboratory of Public Health Safety, Ministry of Education, Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China | | | Wang Ruiping | Songjiang District Center for Disease Control and Prevention, Shanghai 201600, China | | | Zhang Yue | Key Laboratory of Public Health Safety, Ministry of Education, Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China | | | Yu Yuting | Key Laboratory of Public Health Safety, Ministry of Education, Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China | | | Jiang Yonggen | Songjiang District Center for Disease Control and Prevention, Shanghai 201600, China | | | Zhao Genming | Key Laboratory of Public Health Safety, Ministry of Education, Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China | gmzhao@shmu.edu.cn |
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| Abstract: |
| 目的 了解上海市松江区某社区成年人慢性肾病（chronic kidney disease，CKD）的流行现况及主要相关因素。方法 采用随机整群抽样的方法抽取上海市松江区新桥镇20~75岁的常住居民9 257名进行CKD及其相关因素的问卷调查、体格检查及血尿常规、生化检测。结果 本次调查资料完整的对象共8 207名，经年龄和性别调整后，调查人群CKD患病率为8.4%（95% CI：7.8%~9.0%），其中早期（Ⅰ~Ⅱ期）CKD患者占76.5%。随着年龄增加，CKD患病率逐渐升高且女性患病率明显高于男性（P<0.001）。多因素logistic回归分析显示，CKD与女性、≥ 60岁、高血压、高尿酸血症、高脂血症等因素独立相关。结论 上海市松江区某社区成年人CKD患病率较高，已成为松江区重要的公共卫生问题之一，且女性、≥ 60岁、高血压、高尿酸血症、高脂血症是CKD的相关因素。需重视CKD的早期防治，避免终末期肾脏病和相关并发症的发生。 |
| English Abstract: |
| Objective To investigate the prevalence and associated factors of chronic kidney diseases (CKD) in adult residents living in a community of Songjiang district, Shanghai. Methods A total of 9 257 residents aged 20-75 years old in Xinqiao township of Songjiang district were selected by random cluster sampling. All the participants were interviewed to complete a set of personal questionnaire and undergo physical examinations. Urine and blood tests including markers of kidney damage and related associated factors with CKD, were carried out. Results Eligible data from 8 207 subjects were enrolled in the study. After adjustment for age and gender, the prevalence of CKD was 8.4% (95% CI:7.8%-9.0%), with majority of the patients (76.5%) appeared in the early stage (Ⅰ and Ⅱ) of the disease. The prevalence of CKD increased with age and higher prevalence was seen in females than in males (P<0.001). Results from logistic regression analysis showed that factors as:being elderly or female, having hypertension, hyperuricemia, and hyperlipidemia were all independently associated with CKD. Conclusions The prevalence of CKD appeared relatively high in adult residents of Xinqiao township, Songjiang district where CKD had become a public health problem. Factors as:being female or elderly, hypertension, hyperuricemia, and hyperlipidemia were found to be associated with CKD. Our findings suggested that early prevention and control on CKD to reduce the incidence of end-stage renal diseases and related complications had called for more urgent attention. |
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