生活水平对60岁以上老年人慢性肾脏病患病率的影响

The Influence of Different Living Standards on the Incidence of Chronic Kidney Disease in Patients over 60 Years Old

中文关键词: 慢性肾脏病  患病率  横断面研究

英文关键词: chronic kidney disease (CKD)  prevalence  cross-sectional survey

中文摘要:

      目的 分析不同生活水平对60岁以上老人慢性肾脏病(chronic kidney disease,CKD)患病率的影响.方法 对上海市杨浦区6个街区进行横断面调查,综合2015年上海市杨浦区定海、江浦、殷行、延吉、四平和长白6个街区共计12 064份健康体检报告,记录居民的基本信息、实验室指标,评估CKD的患病情况.结果 较高生活水平街区CKD患病率为5.80％,普通生活水平街区CKD患病率为4.61％.较高生活水平街区空腹血糖、血肌酐较普通生活水平街区升高,差异有统计学意义(P＜0.01),体质指数较普通生活水平街区升高,差异有统计学意义(P＜0.05),肾小球滤过率较普通生活水平街区降低,差异有统计学意义(P＜0.01).不同生活水平老年人的血尿素氮、腰围差异无统计学意义(P＞0.05).结论 较高生活水平街区血肌酐较普通生活水平街区升高,肾小球滤过率较普通生活水平街区降低.

英文摘要:

      Objective To investigate the influence of different living standards on the incidence of chronic kidney disease (CKD) in patients over 60 years old.Methods A cross-sectional survey was conducted in 6 blocks,Yangpu District,Shanghai;a total of 12 064 health examination reports in 2015 were reviewed,the basic information and laboratory indexes of the residents were recorded;the incidence of CKD was comprehensively analyzed.Results The incidence of CKD was 5.80 ％ in blocks of higher living standards while that in blocks of ordinary living standards was 4.61％;the levels of fasting blood glucose and serum creatinine (Scr),and the body mass index of the residents in blocks of higher living standards were significantly higher than those of the residents in blocks of ordinary living standards,the difference was of statistical significance (P＜0.01) (P＜0.05) while the glomerular filtration rate (eGFR) was significantly lower with statistical difference (P＜0.01);the blood urea nitrogen and waist circumference of the elderly in blocks of different living standards were of no statistical difference (P＞0.05).Conclusions The level of Scr of the residents in blocks of higher living standards is higher while the eGFR is lower than those of the residents in blocks of ordinary living standards.