2016-2018年上海市慢性肾脏病高风险人群流行病学调查

郝思嘉; 赵璐; 邬碧波; 熊林平; 梅长林

doi:10.16016/j.2097-0927.202208151

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2016-2018年上海市慢性肾脏病高风险人群流行病学调查

公共卫生与预防医学 | 更新时间：2026-01-09

- 2016-2018年上海市慢性肾脏病高风险人群流行病学调查
- Epidemiological survey of high-risk population for chronic kidney disease in Shanghai during 2016 and 2018
- 陆军军医大学学报 2023年45卷第1期页码：86-92
- 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：
  
  [ 熊林平，E-mail: xionglinping@aliyun.com XIONG Linping, E-mail: xionglinping@aliyun.com
- 基金信息：
  
  上海地区慢性肾脏病早发现和诊疗体系建设与示范项目(GWIV-18)
- DOI：10.16016/j.2097-0927.202208151
  中图分类号： R181.37;R587.1
- 收稿：2022-07-23，
  
  修回：2022-09-30，
  
  纸质出版：2023-01-15
- 稿件说明：
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郝思嘉, 赵璐, 邬碧波, 等. 2016-2018年上海市慢性肾脏病高风险人群流行病学调查[J]. 陆军军医大学学报, 2023,45(1):86-92.

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.
郝思嘉, 赵璐, 邬碧波, 等. 2016-2018年上海市慢性肾脏病高风险人群流行病学调查[J]. 陆军军医大学学报, 2023,45(1):86-92. DOI： 10.16016/j.2097-0927.202208151.

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

MEGUID EL NAHAS A, BELLO A K. Chronic kidney disease: the global challenge[J]. Lancet, 2005, 365(9456): 331-340. DOI: 10.1016/S0140-6736(05)17789-7.

ZHANG L X, WANG F, WANG L, et al . Prevalence of chronic kidney disease in China: a cross-sectional survey[J ] . Lancet, 2012, 379(9818): 815-822. DOI: 10.1016/S0140-6736(12)60033-6.

ZHANG L X, ZHAO M H, ZUO L, et al . China kidney disease network (CK-NET) 2015 annual data report[J ] . Kidney Int Suppl (2011), 2019, 9(1): e1-e81. DOI: 10.1016/j.kisu.2018.11.001.

何婷. CKD管理模式研究现状[J]. 西南医科大学学报, 2020, 43(5): 534-537. DOI: 10.3969/j.issn.2096-3351.2020.05.001.

HE T. Current research on the mode of CKD management[J]. J Southwest Med Univ, 2020, 43(5): 534-537. DOI: 10.3969/j.issn.2096-3351.2020.05.001.

ZHOU L, ZENG X X, FU P. Community hemodialysis in China: opportunities and challenges[J]. Chin Med J (Engl), 2017, 130(18): 2143-2146. DOI: 10.4103/0366-6999.213961.

张路霞, 王海燕. 对慢性肾脏病流行病学横断面调查研究方法学的反思和建议[J]. 中华肾脏病杂志, 2010(5): 396-398.

ZHANG L X, WANG H Y. Reflection and suggestion of cross-sectional study methodology for chronic kidney disease epidemiology investigation[J]. Chin J Nephrol, 2010(5): 396-398.

邬碧波, 梅长林. 上海市社区慢性肾脏病早期筛查策略[J]. 上海医药, 2019, 40(10): 3-6. DOI: 10.3969/j.issn.1006-1533.2019.10.002.

WU B B, MEI C L. Strategies for early screening of chronic kidney disease in community of Shanghai[J]. Shanghai Med Pharm J, 2019, 40(10): 3-6. DOI: 10.3969/j.issn.1006-1533.2019.10.002.

LEVIN A, STEVENS P E, BILOUS R W, et al . Kidney disease: improving global outcomes (KDIGO) CKD work group. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease[J ] . Kidney Int Suppl, 2013, 3(1): 1-1 50.

上海慢性肾脏病早发现及规范化诊治与示范项目专家组, 高翔, 梅长林. 慢性肾脏病筛查诊断及防治指南[J]. 中国实用内科杂志, 2017, 37(1): 28-34. DOI: 10.19538/j.nk2017010108.

Expert Group on Early Detection, Diagnosis and Treatment System Construction of Chronic Kidney Disease in Shanghai, GAO X, MEI C L. Guideline for screening, diagnosis, prevention and treatment of chronic kidney disease[J]. Chin J Pract Intern Med, 2017, 37(1): 28-34. DOI: 10.19538/j.nk2017010108.

VAN DER WEERD N C, GROOTEMAN M P C, NUBÉ M J, et al . Hepcidin in chronic kidney disease: not an anaemia management tool, but promising as a cardiovascular biomarker[J ] . Neth J Med, 2015, 73(3): 108-118.

谢伟基, 张夏兰, 廖翼曼, 等. 汕头地区在职人员的慢性肾脏病发病率调查[J]. 中国中西医结合肾病杂志, 2014, 15(10): 880-883.

XIE W J, ZHANG X L, LIAO Y M, et al . The epidemiological study of chronic kidney disease in occupational populations in Shantou[J ] . Chin J Integr Tradit West Nephrol, 2014, 15(10): 880-883.

LEW Q L J, ALLEN J C, NGUYEN F, et al . Factors associated with chronic kidney disease and their clinical utility in primary care clinics in a multi-ethnic Southeast Asian population[J ] . Nephron, 2018, 138(3): 202-213. DOI: 10.1159/000485110.

BANGALORE S, MARON D J, FLEG J L, et al . International study of comparative health effectiveness with medical and invasive approaches-chronic kidney disease (ISCHEMIA-CKD): rationale and design[J ] . Am Heart J, 2018, 205: 42-52. DOI: 10.1016/j.ahj.2018.07.023.

DONALD M, GIL S, KAHLON B, et al . Overview of self-management resources used by Canadian chronic kidney disease clinics: a national survey[J ] . Can J Kidney Health Dis, 2018, 5: 2054358118775098. DOI: 10.1177/2054358118775098.

陈志红, 卢春键, 袁常健, 等. 应用病例对照探讨慢性肾脏病危险因素[J]. 临床肾脏病杂志, 2019, 19(8): 605-607, 612. DOI: 10.3969/j.issn.1671-2390.2019.08.010.

CHEN Z H, LU C J, YUAN C J, et al . Risk factor analysis of chronic kidney diseases using based on case control study[J ] . J Clin Nephrol, 2019, 19(8): 605-607, 612. DOI: 10.3969/j.issn.1671-2390.2019.08.010.

李增芳, 杨芬芳, 蔡菊芳, 等. 杭州市5310例健康体检人群慢性肾脏病的患病情况及危险因素分析[J]. 实用预防医学, 2016, 23(8): 969-972.

LI Z F, YANG F F, CAI J F, et al . Prevalence and risk factors of chronic kidney disease in 5310 healthy people in Hangzhou[J ] . Pract Prev Med, 2016, 23(8): 969-972.

丁素英, 刘东伟, 安璐, 等. 郑州市体检人群慢性肾脏病危险因素分析[J]. 郑州大学学报(医学版), 2016, 51(6): 787-791. DOI: 10.13705/j.issn.1671-6825.2016.06.024.

DING S Y, LIU D W, AN L, et al . Risk factors analysis of chronic kidney disease in physical examination population in Zhengzhou[J ] . J Zhengzhou Univ Med Sci, 2016, 51(6): 787-791. DOI: 10.13705/j.issn.1671-6825.2016.06.024.

KHALIL A A, ABED M A, AHMAD M, et al . Under-diagnosed chronic kidney disease in Jordanian adults: prevalence and correlates[J ] . J Ren Care, 2018, 44(1): 12-18. DOI: 10.1111/jorc.12214.

黄文瀚, 唐琳, 蔡莹, 等. 重庆市渝中区成人慢性肾脏病流行病学调查及相关因素分析[J]. 上海交通大学学报(医学版), 2014, 34(5): 725-730.

HUANG W H, TANG L, CAI Y, et al . Epidemiology investigation and analysis of relevant factors of adult chronic kidney disease in Yuzhong District, Chongqing[J ] . J Shanghai Jiaotong Univ Med Sci, 2014, 34(5): 725-730.

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. DOI: 10.3760/cma.j.issn.1001-7097.2012.02.004.

WANG D G, HAO L, DAI H, et al . Epidemiologic study of chronic kidney disease in adult population of Anhui Province[J ] . Chin J Nephrol, 2012, 28(2): 101-105. DOI: 10.3760/cma.j.issn.1001-7097.2012.0 2.004.

OBERMAYR R P, TEMML C, GUTJAHR G, et al . Elevated uric acid increases the risk for kidney disease[J ] . J Am Soc Nephrol, 2008, 19(12): 2407-2413. DOI: 10.1681/ASN.2008010080.

JOLLY S E, METE M, WANG H, et al . Uric acid, hypertension, and chronic kidney disease among Alaska Eskimos: the Genetics of Coronary Artery Disease in Alaska Natives (GOCADAN) study[J ] . J Clin Hypertens (Greenwich), 2012, 14(2): 71-77. DOI: 10.1111/j.1751-7176.2011.00574.x.

KWAN T H, CHENG Y L, LI P K T. Early detection and prevention programs for kidney diseases in Hong Kong[J]. Clin Nephrol, 2015, 83(7 Suppl 1): 49-51. DOI: 10.5414/cnp83s049.

EBERT N, JAKOB O, GAEDEKE J, et al . Prevalence of reduced kidney function and albuminuria in older adults: the Berlin Initiative Study[J ] . Nephrol Dial Transplant, 2017, 32(6): 997-1005. DOI:10.1093/ndt/gfw079.

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