上海市浦东新区某社区老年人肾功能下降流行现状及其影响因素分析

王程成; 柳利敏; 沈亚康; 薛华

doi:10.19428/j.cnki.sjpm.2021.19997

上海市浦东新区某社区老年人肾功能下降流行现状及其影响因素分析

Prevalence and risk factors of renal function decline in elderly people in a community in Shanghai

摘要

摘要:
目的探讨上海市浦东新区某社区老年人肾功能下降检出率及影响因素。
方法收集2018年某社区老年人体检资料，对体检结果进行分析。采用肾脏病饮食改良（MDRD）公式计算肾小球滤过率的估计值，计算肾功能下降检出率并分析其影响因素。
结果共获得9 626人的有效数据，肾功能下降检出率为10.71%，检出率随年龄增长而增加。多因素logistic回归分析结果表明：男性、高龄、贫血、尿酸异常、高血压、高血脂、糖尿病、谷草转氨酶异常、脑卒中病史是老年人肾功能下降的危险因素。
结论上海市社区老年人肾功能下降检出率较高，应合理配置医疗资源，注意通过有针对性的健康教育、加强慢性病管理等途径预防或控制老年人肾功能下降，减少肾脏疾病及其并发症造成的疾病负担。

Abstract:
ObjectiveTo determine the prevalence of renal function decline in the elderly population in a community and risk factors.
MethodsData in the physical examination of the elderly population aged over 60 years old in a community in 2018 were collected and analyzed. Estimated glomerular filtration rate was calculated by modified modification of diet in renal disease （MDRD） formula. Association between renal function decline and risk factors were determined.
ResultsAmong the 9 626 elderly people， the prevalence of renal function decline was 10.71%， which increased with age. Multivariate logistic regression showed that men， age， anemia， abnormal uric acid， hypertension， hyperlipidemia， diabetes， glutamine transaminase， and the history of stroke were the independent risk factors associated with renal function decline.
ConclusionThe prevalence of renal function decline in elderly people in a community in Shanghai is relatively high. It is necessary to pay attention to early screening and take effective preventive measures， such as health education， scientific exercise and reasonable diet， chronic disease management and other measures.

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