摘要
目的:了解新疆墨玉地区成人居民肾功能状态和尿检异常情况及慢性肾脏病(CKD)患病率和主要危险因素。方法:调取2019⁃01⁃01~2019⁃01⁃31期间在墨玉县扎瓦乡卫生院完成体检且资料相对完整的成人居民共29729人的体检数据,进行横断面研究。通过问卷调查收集一般信息,留取空腹血和晨尿标本,检测肾功能、尿常规等项目,计算估算肾小球滤过率(eGFR)。结果:墨玉县扎瓦乡村民CKD、肾功能下降、蛋白尿阳性、尿潜血阳性百分比分别为1.6%,0.5%,1.1%,1.4%。单因素分析提示,CKD患病率与年龄、血压及糖尿病有关,蛋白尿患病率与年龄、女性、血压及糖尿病呈正相关。多因素Logistic回归分析显示,年龄、女性、高血压、糖尿病是CKD的独立危险因素。结论:新疆墨玉地区扎瓦乡成人CKD、肾功能下降和尿检异常的检出率较低,为该地区CKD的防治策略提供了依据。
Objective:To investigate the renal function,abnormal urine test,prevalence of chronic kidney disease(CKD)and the main risk factors of adult residents in Moyu area of Xinjiang.Methodology:The physical examination data of 29729 adult residents who had completed physical examination in Zawa Township Health Center of Moyu County during January 1,and January 312019 were collected and a cross⁃sectional study was conducted.General information was collected through questionnaires,fasting blood and morning urine samples were collected,renal function and urine routine were tested,and the estimation of glomerulor filtration rate(eGFR)was calculated.Results:Prevalence of CKD,decreased renal function,proteinuria and positive urine occult blood was were 16%,05%,11%and 14%,respectively.Univariate analysis showed that prevalence of CKD was correlated with age,blood pressure and diabetes,while the prevalence of proteinuria was positively correlated with age,female,blood pressure and diabetes.Multivariate Logistic regression analysis showed that age,female,hypertension and diabetes were independent risk factors for CKD.Conclusion:The detected prevalence rate of CKD,decreased renal function and abnormal urinalysis in Zawa Township,Moyu District,Xinjiang were relative low.This study provided the basis for prevention and treatment strategy of CKD in this area.
作者
王丽慧
刘健
图迪麦麦提·麦麦提敏
热西旦·扎克尔
艾比布拉·艾拜
王晨
米热古丽·沙拉木
娜芭尔·吐尔逊艾力
宋艳芳
李素华
刘珍
WANG Lihui;LIU Jian;Tudimaimaiti·Maimaitimin;Rexidan·Zhakeer;Aibibula·Aibai;WANG Chen;Mireguli·Shalamu;Nabaer·Tuerxunaili;SONG Yanfang;LI Suhua;LIU Zhen(Kidney Disease Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China;Moyu County Zawa Town Health Center,Zawa 848104,China;Department of Nephrology,Moyu County People's Hospital,Xinjiang,Moyu 848100,China;Department of Nephropathy Rheumatism,Xinjiang Karamay Central Hospital,Karamay 834000,China)
出处
《肾脏病与透析肾移植杂志》
CAS
CSCD
北大核心
2020年第4期333-338,共6页
Chinese Journal of Nephrology,Dialysis & Transplantation
基金
新疆维吾尔自治区自然科学基金(2014211C048)。
关键词
慢性肾脏病
蛋白尿
危险因素
高血压
chronic kidney disease
proteinuria
risk factor
hypertension
