Epidemiological survey of high-risk population for chronic kidney disease in Shanghai during 2016 and 2018

Sijia HAO; Lu ZHAO; Bibo WU; Linping XIONG; Changlin MEI

doi:10.16016/j.2097-0927.202208151

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Epidemiological survey of high-risk population for chronic kidney disease in Shanghai during 2016 and 2018

Public Health and Preventive Medicine | 更新时间：2026-01-09

- Epidemiological survey of high-risk population for chronic kidney disease in Shanghai during 2016 and 2018
- Journal of Army Medical University Vol. 45, Issue 1, Pages: 86-92(2023)
- 作者机构：
  
  1.200433 上海，海军军医大学卫勤系军队卫生事业管理学教研室
  2.075100 河北，71352部队
  3.200070 上海，上海市静安区闸北中心医院肾内科
  4.200003 上海，海军军医大学附属长征医院肾内科，解放军肾脏病研究所
- 作者简介：
- 基金信息：
  
  the Construction and Demonstration Project of Early Detection, Diagnosis and Treatment System for Chronic Kidney Disease in Shanghai(GWIV-18)
- DOI：10.16016/j.2097-0927.202208151
  CLC： R181.37;R587.1
- Received：23 July 2022，
  
  Revised：2022-09-30，
  
  Published：15 January 2023
- 稿件说明：
移动端阅览
Sijia HAO, Lu ZHAO, Bibo WU, et al. Epidemiological survey of high-risk population for chronic kidney disease in Shanghai during 2016 and 2018[J]. Journal of Army Medical University, 2023, 45(1): 86-92.
DOI：

Sijia HAO, Lu ZHAO, Bibo WU, et al. Epidemiological survey of high-risk population for chronic kidney disease in Shanghai during 2016 and 2018[J]. Journal of Army Medical University, 2023, 45(1): 86-92. DOI： 10.16016/j.2097-0927.202208151.

摘要

目的

基于2016-2018年上海市静安、闵行两区的社区卫生服务中心慢性肾脏病(chronic kidney disease，CKD)高风险人群筛查数据，分析CKD高风险人群的流行病学特征。

方法

收集上海市静安、闵行两区的社区卫生服务中心CKD高风险人群的筛查资料，比较不同性别、年龄、疾病史的高风险人群CKD检出率的差异并进行影响因素分析。

结果

社区慢性肾脏病高风险人群CKD检出率为14.71%，早期CKD患者(1期、2期)占多数(84.57%)；女性高风险人群CKD检出率高于男性(χ

=202.158，

0.01)，老年人群CKD检出率高于非老年(χ

=16.294，

0.01)；筛查对象病史情况复杂，具有高血压病史的人群数量最多(61.77%)，高血压者CKD检出率高于未患高血压者(χ

=67.837

0.01)，未患糖尿病者CKD检出率高于患有糖尿病者(χ

=13.978，

0.01)；具有4种风险因素的高风险人群有392例，检出CKD患者84例(21.43%)，检出率最高。

结论

性别、年龄、高血压和糖尿病是CKD患病的影响因素，女性人群CKD检出率较高，年龄越大、患有高血压但未患有糖尿病的人群CKD的检出率越高。

Abstract

Objective

To analyze the epidemiological characteristics of high-risk populations for chronic kidney diseases (CKD) based on the screening data of community health centers in Jing'an and Minhang Districts of Shanghai from 2016 to 2018.

Methods

The screening data of high-risk CKD population in community health service centers in Jing'an and Minhang Districts of Shanghai were collected. The differences in the detection rate of CKD among high-risk population with different gender

age and disease history were compared and the influencing factors were analyzed.

Results

The detection rate of CKD in high-risk population in community was 14.71%

and those with early CKD (stage 1 and 2) accounted for the majority (84.57%). The detection rate of CKD was higher in the female high-risk group than the male group (

Chi

-square=202.158

0.01)

and in the elderly group than the non-elderly group (

Chi

-square=16.294

0.01). The subjected high-risk individuals had complicated medical history

and those (61.77%) having a history of hypertension ranked first in number. The detection rate of CKD was higher in the patients with hypertension than those without (

Chi

-square=67.837

0.01)

and in those without diabetes than those with (

Chi

-square=13.978

0.01). Based on the 6 risk factors (gender

age 6

5 and above

hypertension

diabetes

hyperuricemia and family history of kidney disease)

the highest detection rate was found among the 392 patients with 4 risk factors

with 84 patients (21.43%) having CKD.

Conclusion

Gender

age

hypertension and diabetes mellitus are the risk factors of CKD

the detection rate of CKD is higher in female population and older people with hypertension but not diabetes.

关键词

Keywords

references

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