上海市某社区2型糖尿病患者慢性肾脏病患病情况调查及影响因素分析

Survey on Prevalence of Chronic Kidney Disease in Type 2 Diabetes Mellitus Patients in a Shanghai Community and Analysis of Influencing Factors

目的:探讨上海市某社区管理的2型糖尿病患者慢性肾脏病(CKD)患病情况及其影响因素。方法:采用简单随机抽样法抽取上海市某社区2020年底在册管理的423例2型糖尿病患者作为研究对象,通过问卷调查、体格检查、生化指标检测,分析其CKD患病情况及影响因素。结果:423例2型糖尿病患者中,知晓CKD的32例,知晓率为7.57%;患有CKD 176例,患病率为41.61%。多因素分析显示,年龄,合并高血压、高尿酸血症,糖化血红蛋白水平升高是2型糖尿病患者发生CKD的危险因素(P<0.05)。结论:上海市某社区管理的2型糖尿病患者CKD患病率高,知晓率低,年龄,合并高血压、高尿酸血症,糖化血红蛋白水平升高均为其危险因素,社区应积极开展CKD健康教育,对患者进行早期筛查,积极控制2型糖尿病患者血糖、血压、尿酸等指标。

Objective:To explore the prevalence of chronic kidney disease(CKD)and its influencing factors in type 2 diabetes mellitus(T2DM)patients managed by a community in Shanghai.Methods:A total of 430 patients with type 2 diabetes mellitus registered and managed by a community in Shanghai at the end of 2020 were selected by simple random sampling,as the study subjects.The prevalence of CKD and its influencing factors were analyzed through questionnaire survey,physical examination and biochemical indicators detection.Results:Among the 423 patients with type 2 diabetes mellitus,32 cases were aware of CKD,with an awareness rate of 7.57%;176 cases had CKD,and the prevalence rate was 41.61%.Multivariate analysis showed that age,hypertension,hyperuricemia,and elevated glycated hemoglobin levels were risk factors for CKD in patients with type 2 diabetes mellitus(P<0.05).Conclusion:The prevalence of CKD in type 2 diabetes mellitus patients managed by a community in Shanghai is high and the awareness rate is low.The age,hypertension,hyperuricemia,and elevated glycated hemoglobin levels are risk factors.The community should actively carry out CKD health education and early screening of patients,and actively control the blood glucose,blood pressure,uric acid and other indexes of type 2 diabetes mellitus patients.