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肾脏病与透析肾移植杂志

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新疆墨玉县扎瓦乡成人肾功能状态和尿检异常流行病学调查

  

  • 出版日期:2020-08-28 发布日期:2020-08-22

Epidemiological investigation of renal function and abnormal urine test in adults in Zawa Township,Moyu County,Xinjiang

  • Online:2020-08-28 Published:2020-08-22

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29 729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。

关键词: 慢性肾脏病, 蛋白尿, 危险因素, 高血压

Abstract: 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 29 729 adult residents who had completed physical examination in Zawa Township Health Center of Moyu County during January 1,and January 31 2019 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 16%,05%,11% and 14%,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.

Key words: chronic kidney disease, proteinuria, risk factor, hypertension