A Survey on Epidemiology of Chronic Kidney Disease Among People doing Physical Examination

Wang Shaoqing; Lai Weijing; Kuang Sihai; Xiao Jianping; Lyu Yaping; Mao Nan; Wang Li

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A Survey on Epidemiology of Chronic Kidney Disease Among People doing Physical Examination

更新时间：2021-08-23

- A Survey on Epidemiology of Chronic Kidney Disease Among People doing Physical Examination
- Health Medicine Research and Practice Vol. 13, Issue 3, Pages: 12-15(2016)
- 作者机构：
  
  1. 成都医学院第一附属医院肾病科
  2. 成都医学院第一附属医院体检中心
- 作者简介：
- 基金信息：
- DOI：
  CLC： R692
- Published：2016，
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[1]王少清,赖玮婧,匡祀海,肖建平,吕亚萍,毛楠,汪力.健康体检人群中慢性肾脏病的流行病学调查[J].保健医学研究与实践,2016,13(03):12-15+23.

Wang Shaoqing, Lai Weijing, Kuang Sihai, et al. A Survey on Epidemiology of Chronic Kidney Disease Among People doing Physical Examination. [J]. Health Medicine Research and Practice 13(3):12-15(2016)
[1]王少清,赖玮婧,匡祀海,肖建平,吕亚萍,毛楠,汪力.健康体检人群中慢性肾脏病的流行病学调查[J].保健医学研究与实践,2016,13(03):12-15+23. DOI：

Wang Shaoqing, Lai Weijing, Kuang Sihai, et al. A Survey on Epidemiology of Chronic Kidney Disease Among People doing Physical Examination. [J]. Health Medicine Research and Practice 13(3):12-15(2016) DOI：

摘要

目的探讨健康体检人群中慢性肾脏病（CKD）的流行病学特点和相关危险因素。方法随机选取2014年10月-2015年10月在成都医学院第一附属医院进行健康体检且资料完整的年龄20岁以上者2 260人为研究对象

进行问卷调查、体格检查和肾损伤等相关指标的检测

同时分析探讨CKD的相关危险因素。结果本研究人群中

男性白蛋白尿检出率为11.76%

女性白蛋白尿检出率为11.29%

二者相比

差异无统计学意义（χ

=0.124

P=0.725）;老年组、中年组及青年组白蛋白尿检出率分别为12.50%

12.07%和11.03%

不同年龄段体检者白蛋白尿检出率差异无统计学意义（χ

=0.795

P=0.672）。女性血尿检出率为14.52%

明显高于男性（7.84%）

差异有统计学意义（χ

=24.478

P=0.000）;中年组和青年组血尿检出率（10.34%和11.03%）均低于老年组（15.63%）

差异均有统计学意义（χ

=5.359

P=0.021;χ

=5.217

P=0.022）。男性肾小球滤过率（GFR）下降检出率为3.92%

女性GFR下降检出率为3.23%

二者相比

差异无统计学意义（χ

=0.793

P=0.373）;老年组GFR下降检出率（18.75%）明显高于中年组（1.72%）和青年组（0.74%）

差异均有统计学意义（χ

=83.342

210.543

P=0.000）

中年组GFR下降检出率（1.72%）明显高于青年组（0.74%）

差异有统计学意义（χ

=3.897

P=0.048）。353例体检者肾脏彩超检查结果异常

检出率为15.62%。本研究中

男性CKD检出率为16.67%

明显高于女性（12.10%）

差异有统计学意义（χ

=9.616

P=0.002）;中年组和青年组CKD检出率（13.79%和11.03%）均低于老年组（28.13%）

差异均有统计学意义（χ

=27.648

61.829

P=0.000）。多因素逐步Logistic回归分析结果显示

高血压、糖尿病、高脂血症是CKD的独立危险因素。结论该院健康体检人群CKD的患病率较高;健康体检有助于CKD的早期发现。

Abstract

Objective To investigate epidemiological features and risk factors of chronic kidney disease（CKD）among people doing physical examination.Methods 2 260 people aged over 20 who did physical examination from October2014 to October 2015 in the First Affiliated Hospital of Chengdu Medical College were randomly selected to do questionnaires and physical examination and test kidney-injury-related indicators.The risk factors of CKD were analyzed.Results Among 2 260 people

the detection rate of albuminuria in males was 11.76%

the detection rate of albuminuria in females was 11.29% and the difference was not statistically significant（χ

=0.124

P=0.725）;the detection rates of albuminuria in the elder group

middle-aged group and youth group were respectively 12.50%

12.07%and 11.03% and the differences between the three age groups were not statistically significant（χ

=0.795

P=0.672）.The detection rate of hematuria in females was 14.52%

significantly higher than males（7.84%）and the difference was statistically significant（χ

=24.478

P=0.000）;the detection rates of hematuria of the middle-aged and youth groups（10.34% and 11.03%）were both lower than the elder group（15.63%）and the differences were statistically significant（χ

=5.359

P=0.021;χ

=5.217

P=0.022）.The detection rate of male glomerular filtration rate（GFR）decline was 3.92%

the detection rate of female GFR decline was 3.23%and there was no significant difference（χ

=0.793

P=0.373）;the detection rate of GFR decline in the elder group（18.75%）was significantly higher than the middle-aged group（1.72%）and the youth group（0.74%）and the differences were statistically significant（χ

=83.342

210.543

P=0.000）

the detection rate of GFR decline in the middle-aged group（1.72%）was significantly higher than the youth group（0.74%）and the difference was statistically significant（χ

=3.897

P=0.048）.353 cases had abnormal renal Color Doppler Flow Imaging results and the detection rate was 15.62%.In this survey

the CKD detection rate in males was 16.67%

higher than females（12.10%）

and the difference was statistically significant（χ

=9.616

P=0.002）;CKD detection rates of the middle-aged and youth groups（13.79% and 11.03%）were both lower than the elder group（28.13%）and the differences were statistically significant（χ

=27.648

61.829

P=0.000）.Multivariate stepwise logistic regression analysis showed that hypertension

diabetes and hyperlipidemia were independent risk factors for CKD.Conclusion The incidence of CKD among people doing physical examination in the hospital is high and physical examinations can help to diagnose CKD early.

关键词

肾脏病慢性病筛查流行病学

Keywords

Kidney diseaseChronic diseaseScreeningepidemiology

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