Estimated glomerular filtration rate and the affecting factors in urban and rural elderly in Pudong district of Shanghai
-
摘要: 目的 探讨城乡结合部老年人群估算肾小球滤过率(eGFR)的异常情况及其发生的危险因素,为延缓慢性肾脏病(CKD)的病程进展提供依据。 方法 采用横断面调查的方式,在2016年3-5月普查本社区60岁以上的户籍居民5 097名,收集相关体检指标,以2009年慢性肾病流行病学协作组(CKD-EPI)方程计算eGFR,并以eGFR ≤ 60 ml/(min·1.73 m2)为切点判断慢性肾脏病,应用SPSS 18.0统计软件进行统计,计算人群患病率并分析不同危险因素与疾病的关系。 结果 60岁以上老年人平均eGFR为(77.44±19.16) ml/(min·1.73 m2),同年龄段的性别间的eGFRCKD-EPI水平比较,男性的eGFRCKD-EPI平均值均低于女性,差异有统计学意义(P<0.01);CKD患病数为888人,患病率为17.42%,其eGFR均值为(49.40±9.92) ml/(min·1.73 m2)。以10岁为间隔进行分组,结果显示,随着年龄上升,eGFRCKD-EPI逐渐降低(P<0.01)。年龄、男性、高血压病和高尿酸是eGFR异常的危险因素(P<0.001)。 结论 60岁以上老年人群的CKD患病率较高,尤其是高龄老人,需要关注社区老年人的肾脏疾病和相关危险因素。Abstract: Objective To investigate the abnormal situation and affecting factors of estimated glomerular filtration rate (eGFR) in the elderly population in urban-rural integration areas,and to provide basis the treatment of chronic kidney disease (CKD). Methods In this cross sectional study,we analyzed 5 097 senior permanent residents over 60 years of age between March,2016 and May,2016,collected relevant physical data,estimated GFR using the CKD-EPI Creatinine Equation (2009),CKD was defined as an eGFR <60 ml/(min·1.73 m2).The population prevalence and the related risk factors for CKD were analyzed by SPSS 18.0. Results The average eGFR was (77.44±19.16) ml/(min·1.73 m2) in the patients over 60 years of age.In the same age group,eGFRCKD-EPI level in the male was lower than that of the female,and there was statistical difference (P<0.01).888 were with CKD,and the prevalence rate was 17.42%,and the mean value of eGFR was (49.40±9.92) ml/(min·1.73 m2).Taking 10 years as the interval,with the age increased,eGFRCKD-EPI gradually reduced (P<0.001).The age,male sex,hypertension and high uric acid were the risk factors for a reduced eGFR (P<0.001). Conclusion The prevalence of CKD in the elderly over 60 years old is high,especially in the oldest old.The kidney disease and related risk factors should be concerned among the elderly in community.
点击查看大图
计量
- 文章访问数: 77
- HTML全文浏览量: 23
- PDF下载量: 0
- 被引次数: 0