目的 探讨武警某部入伍新兵中慢性肾疾病(chronic kidney disease,CKD)的患病率及相关危险因素。方法 采用随机整群抽样的方法抽取2200例入伍新兵,进行CKD及相关危险因素的检测和问卷调查。结果 在2200例的受调查者中,尿微量白蛋白异常者62例,检出率为2.82%;白蛋白尿13例,检出率为0.59%;血尿阳性者为8例,检出率为0.36%;肾功能检测均正常。入伍新兵中,CKD相关的危险因素主要为高血压、高血脂和超重、肥胖。结论 武警某部2014年入伍男性新兵CKD的检出率为3.77%,低于所在地普通人群水平(10.4%)。
Abstract
Objective To investigate the prevalence of chronic kidney diseases(CKD) and risk factors in the raw recruits of Armed Police Forces.Method 2200 subjects sampled by randomization methods were enrolled in the study .Data were colleted through questionnaires and laboratory tests. Results Microlbuminuria was detected in 62 subjects (2.82%),albnminuria in 13 subjects(0.59%),and hematuria in 8 subjects(0.36%).Renal function was normal in all subjects. Hypertension, hyperlipidemia,overweight and obesity were indentified as independent risk factors associated with CKD in the raw recruits.Conclusions The prevalence of CKD in the new recruits of Armed Police Forces of Anhui Province (3.77%)is lower than that of people in the local population(10.4%).
关键词
慢性肾脏病 /
患病率 /
流行病学 /
危险因素
Key words
chronic kidney disease /
prevalence /
epidemiological investigation /
risk factor
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Coresh J, Astor B C, Green T,et al. Prevalence of chronic kidney disease and decreased kindey function in the adult US population:the National Health and Nutrition Examination Survey[J].Am J Kindny Dis,2003,41:1-12.
[2] Chadban S J, Briganti E M,Kerr P G,et al. Prevalence of kidney damage in Australian adults: The AusDiab kidney study[J]. J Am Soc Nephrol,2003,14(7Suppl2):S131-S138.
[3] 张路霞,王海燕.中国慢性肾脏病的现状及挑战—来自中国慢性肾脏病的流行病学调查的启示[J].中华内科杂志,2012,51(7):497-498.
[4] 马迎春,左 力,王 梅,等.肌酐清除率和MDRD方程评估肾小球率过滤的比较[J].临床内科杂志,2006,23(1):32-35.
[5] 全国eGFR课题协作组.MDRD方程在我国慢性肾脏病患者中的改良和评估[J].中华肾脏病杂志,2006,22(10):589-595.
[6] U.S Renal Date System. USRDS 2008 Annual Data Report:Atlas of Chronic Kidney Disease and End-stage Renal Disease in the United States[R].National Institutes of Health,National Institutes of diabetes and Digestive and kindeny Diseases[J]. Bethesda,2008,52:186-195.
[7] 李德谦,袁慧欣,马建中,等.武警某部2010年入伍新兵慢性肾脏病流行病学调查[J].武警医学,2010,21(12):1059-1061.
[8] 王德光,郝 丽,戴 宏,等.安徽省成人慢性肾脏病流行病学调查[J].中华肾脏病杂志,2012,28(2):101-105.
[9] 张路霞,王 芳,左 力,等.北京市成人慢性肾脏病流行病学调查[J].中国医学论坛报,2007-11-8:B13.
[10] Chen W, Chen W Q, Wang H,et al. Prevalence and risk factors associated with chronic kidney disease in an adult population from southern China[J]. Nephrol Diel Transplant,2009,24:1205-1212.
[11] 国务院新闻办公室.中国居民营养与健康现状[J].营养学报,2004,26(6):417-420.
PDF(605 KB)
