安徽广德胜利村体检人群慢性肾脏病患病情况及危险因素分析

摘要/Abstract

摘要： 目的探讨安徽省广德市胜利村村民慢性肾脏病（CKD）的患病率和危险因素。方法回顾性分析2019—2022年资料完整的492例健康体检者资料,通过问卷、体格检查及实验室检查结果筛查,分析慢性肾脏病相关危险因素。结果在资料完整的492例体检人群中,尿常规检测尿蛋白阳性率、肾小球滤过率下降阳性率及CKD的患病率分别为22.2%、7.7%、26.8%。单因素分析结果显示,CKD患病率与性别、年龄、高尿酸血症、肾结石有关,差异有统计学意义（P<0.05）;多因素分析结果显示,年龄（β=0.028,OR=1.03,95%CI：1.00~1.05）,高尿酸血症（β=0.55,OR=0.58,95%CI：0.35~0.95）,肾结石（β=0.48,OR=0.62,95%CI：1.04~2.50）是CKD的独立危险因素（P<0.05）。结论该村体检人群CKD的患病率较高,建议体检时加做尿白蛋白和尿肌酐、尿沉渣检测,提高CKD早期检出率。应重视高龄、高尿酸血症、肾结石群体的肾损伤风险。

关键词: 慢性肾脏病, 体检, 流行病学, 危险因素

Abstract: Objective To explore the prevalence and risk factors of CKD among villagers in Shengli Village, Guangde City, Anhui Province. Methods A retrospective analysis was conducted on 492 completed health checkups from 2019 to 2022. CKD was screened through questionnaires, physical examinations, and laboratory examination results , and risk factors related to chronic kidney disease were analyzed. The results showed that among the 492 patients, the positive rate of urinary protein, decreased glomerular filtration rate, and the incidence rate of CKD were 22.2%, 7.7%, and 26.8% respectively. The results of logistic regression analysis showed that age(β=0.028,OR=1.03,95%CI: 1.00~1.05), hyperuricemia(β=0.55,OR=0.58,95%CI: 0.35~0.95), and kidney stone(β=0.48,OR=0.62,95%CI: 1.04~2.50) are independent risk factors for CKD. Conclusion The prevalence of CKD in the population undergoing physical examination in this village is relatively high. It is recommended to add urine albumin, urine creatinine, and urine sediment examination to improve the early detection rate of CKD.

Key words: chronic kidney disease, physical examination, epidemiology, risk factors

中图分类号:

R692

尹玥, 杨光, 杨远宽, 丁胜, 刘天陆, 叶行丽, 王蔚文. 安徽广德胜利村体检人群慢性肾脏病患病情况及危险因素分析[J]. 中华养生保健, 2025, 43(6): 104-108.

YIN Yue, YANG Guang, YANG Yuan-kuan, DING Sheng, LIU Tian-lu, YE Xing-li, WANG Wei-wen. Analysis of the Prevalence and Risk Factors of Chronic Kidney Disease among Community Physical Examination Population in a Certain Area of Anhui Province[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(6): 104-108.

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