长春市成年男性慢性肾脏病流行病学调查

Epidemiologic Investigation of Chronic Kidney Disease in Changchun Adult Male Population

目的探讨长春市成年男性人群中慢性肾脏病(CKD)的患病情况和相关危险因素。方法通过对长春市成年男性健康体检,进行CKD及相关危险因素的问卷调查(既往史、吸烟、饮酒等)、体格检查(血压、身高和体重质量)和肾脏相关检测(尿微量白蛋白/肌酐比值;尿常规及沉渣;血清肌酐;并估算肾小球滤过率)。同时还进行危险因素相关检测包括血糖;血尿酸;血脂水平检测。了解长春市成年男性CKD的患病情况及相关危险因素。结果在3 694例资料完整的人群中,白蛋白尿的患病率为15.29%,肾功能下降的患病率为1.32%,血尿的患病率为4.87%。该人群中CKD的患病率为16.24%,知晓率为6.17%。多因素Logistic回归提示,年龄、高血压、高尿酸、高血脂和高体质量指数是白蛋白尿的独立危险因素;年龄、高血压、高尿酸、高血脂和高体质量指数也是CKD独立危险因素。结论长春市城市成年男性人群中,CKD的患病率较高,知晓率低。本病相关危险因素包括年龄、高血压、高血脂、高尿酸、高体质量指数。

Objective To investigate the prevalence and risk factors of chronic kidney disease（CKD）in Changchun adult male population . MethodsQuestionnaire（anamnesis, smoking, drink）of risk factors of CKD; Physical Examination （blood pressure, height and body mass）;Kidney related testing （uromicroprotein/creatinine ratio; urine and sediment;serum creatinine; and to estimate glomerular ifltration rate）. Detection of risk factors including blood sugar, blood uric acid blood lipid. Through statistical analysis , to investigate the prevalence and risk factors of CKD in Changchun adult male population .ResultsEligible data of 3694 subjects were enrolled in the study. The prevalence of albuminuria was 15.29%. reduced of eGFR was 1.32%, hematuria was 4.87%. and CKD was16.24% ,the recognition was 6.17%.Independent risk factors of albuminuria were age, hypertension, high uric acid, high cholesterol and high BMI.Independent risk factors of CKD were age, hypertension, high uric acid, high cholesterol and high BMI.Conclusions The prevalence of CKD is quite high and the recognition rate is low in Changchun adult male population. Risk factors of CKD were age, hypertension, high uric acid, high cholesterol and high BMI.