简介:摘要目的探讨吉林省长春市成年人群连续三年慢性肾脏病(CKD)的患病情况和相关危险因素.方法连续三年通过对吉林省长春市成年人群进行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.了解吉林省长春市成年人群CKD的患病情况及相关危险因素.结果三年分别3268例、3002例、3133例资料完整的人群中,CKD的患病率分别为15.4%、12.6%、16.9%.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CKD独立危险因素.结论吉林省长春市城市成年人群中,CKD的患病率较高,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.关键词肾疾病;患病率;横断面筛查;流行病学EpidemiologicAnalysisofChronicKidneyDiseaseinAdultPopulationinChangchunCity,JilinProvinceForThreeConsecutiveYearsLIYinhuiWURenLIUBaolingWANGJingLIUShuixianFAWGeneralHospital(TheFourthHospitalofJilinUniversity),ChangchunJilin130011,ChinaAbstractObjectiveToanalysistheprevalenceandriskfactorsofchronickidneydisease(CKD)inAdultPopulationinChangchunCity,JilinProvinceForthreeconsecutiveyearsMethodsQuestionnaire(anamnesis,smoking,drink)ofriskfactorsofCKD;PhysicalExamination(bloodpressure,heightandbodymass);Kidneyrelatedtesting(uromicroprotein/creatinineratio;urineandsediment;serumcreatinine;andtoestimateglomerularfiltrationrate).Detectionofriskfactorsincludingbloodsugar,blooduricacidbloodlipid.Throughstatisticalanalysis,toanalysistheprevalenceandriskfactorsofCKDinAdultPopulationinChangchunCity,JilinProvinceForthreeconsecutiveyears..ResultsInthreeconsecutiveyears,Eligibledataof3268,3002,3133subjectswereenrolledinthestudy.TheprevalenceofCKDrespectivelywas15.4%、12.6%、16.9%,IndependentriskfactorsofCKDwereage,hypertension,highuricacid,highcholesterolandhighBMI.ConclusionsTheprevalenceofCKDisquitehighinAdultPopulationinChangchunCity,JilinProvince.RiskfactorsofCKDwereage,hypertenGsion,hKiegyhwuorircdsacid,highcholesterolandhighBMI.Kidneydiseases;Prevalence;Cross-sectionalstudy;Epidemiology中图分类号R241.2文献标识码B文章编号1008-6315(2015)12-1249-02