沭阳县农村老年人慢性肾脏病流行病学调查

Prevalence of chronic kidney disease in old rural population in Shuyang City

目的探讨沭阳县农村老年人慢性肾脏病(CKD)的患病率及危险因素。方法随机抽取江苏省沭阳县农村≥65岁的常住居民健康体检者6000例,对肾脏损伤指标及相关危险因素进行分析。结果在6000例资料完整的调查对象中,CKD的发生率为11.2%;对该疾病的知晓率为5.5%,认知率为3.2%,治疗率为2.1%。CKD最多见的表现形式是血尿和蛋白尿,多因素logistic回归提示,年龄、吸烟、体质量指数、血压、血糖和血尿酸是CKD的危险因素。结论沭阳县农村老年人CKD患病率较高,但未引起人们的注意,知晓率和治疗率较低,随着人口的老龄化和生活方式的改变,CKD的患病率仍有可能攀升,因此,应加强CKD的筛查和预防,开展CKD的健康教育,有针对性地采取干预措施,以提高CKD的防治水平。

Objective To explore the morbidity rate and risk factors of chronic kidney disease(CKD) of the old re-sidents in Shuyang city. Methods 6000 residents aged 65 years old and over in rural areas in Shuyang were randomly surveyed. The index of kidney damage and the risk factors were analyzed. Results In the data integrity of 6000 objects, the prevalence rate of CKD was 11.2%;the awareness rate was 5.5%, and the cognition rate was 3.2%, and the treatment rate was 2.1%. The main manifestations of CKD was haemat uria and protein uria. Multifactor logistic regression suggested that age,smoking,body mass index,blood pressure,blood sugar and blood uric acid was the risk factor for CKD. Conclusions The prevalence rate of CKD is high in rural areas, but the awareness and recognition rate is very low. With the aging of the population and the changes of lifestyle, the incidence of CKD could still rise,therefore, screening and prevention of CKD should be strengthened, health education and targeted interventions should be carried out, to improve prevention and treatment of CKD.