杞县地区慢性肾脏病发病率及病因流行病学调查

The prevalence and etiology epidemicological survey on chronic kidney disease in Qi County area

目的对杞县地区慢性肾脏病发病率及病因进行流行病学调查。方法 2014年7~12月对杞县地区年龄≥18岁的常住居民进行一般情况、生活方式调查,并进行体格检查以及肾脏疾病相关指标检测,分析患病率及慢性肾脏病的病因。结果慢性肾脏病患者年龄显著高于非慢性肾脏病患者（P〈0.01）,高血压、糖尿病、肥胖、高血脂人群慢性肾脏病发病率更高（P〈0.05或P〈0.01）。杞县地区慢性肾脏病病因多因素分析结果显示,年龄、高血压、肥胖是慢性肾脏病的独立危险因素（P〈0.05或P〈0.01）。男性和女性总的发病率相似,但是男性和女性不同年龄段发病率曲线不同。结论杞县地区慢性肾脏病的发病率相对较低,年龄、高血压、糖尿病、肥胖是主要的独立危险因素。

Objective To study the prevalence and etiology of chronic kidney disease in Qi County area. Methods From July to December, 2014, permanent residents who aged ≥ 18 years in Qixian area were surveyed about general, lifestyle ,received physical examination, and were detected with kidney disease related indicators. The prevalence and etiology of chronic kidney disease were analyzed. Results Age of patients with chronic kidney disease was significantly older than non-chronic kidney disease people（P〈0.01 ）; Hypertension, diabetes, obesity, high cholesterol crowd were higher disease incidences （P〈0.05 or P〈0.01）. Multivariate analysis of etiology showed that, age, hypertension, obe- sity were independent risk factors for chronic kidney disease （P〈0.05 or P〈0.01）. Overall incidences of male and fe- male were similar, but incidence curves in different ages of male and female were different. Conclusion The incidence of chronic kidney disease in Qixian is relatively low, and age, hypertension, obesity are independent risk factors.