| 摘要: |
| ［摘要］ 目的 探讨中老年人群肾动脉粥样硬化缺血性肾病的相关因素,为早期诊断和早期干预创造条件。方法 以2007-01～2007-12在我院进行健康体检、年龄为40～85岁的中老年人群3 000名为研究对象,通过问卷调查方式及健康体检资料进行资料搜集，调查肾动脉粥样硬化缺血性肾病患者及人群的知晓率，并分析中老年人群中发病情况、病因构成比、临床特点、治疗现况和各种独立危险因素。结果 (1)患者知晓率为3.29%，人群知晓率为0.70%。(2)患病率为5.07%，随着年龄增长，患病率明显增加；男性与女性之间患病率差异无统计学意义。(3)临床特点主要表现为高血压（83.56%）和肾功能减退（63.16%）；主要合并症为冠心病（63.82%）、脑血管疾病（27.63%）、颈动脉粥样硬化（55.92%）、糖尿病（29.61%）、血脂代谢异常（53.29%）。结论 肾动脉粥样硬化缺血性肾病患者及人群知晓率低；随着年龄增长，患病率明显增加；独立危险因素包括吸烟、高龄、冠状动脉病变严重程度、收缩期高血压、脑血管病、颈动脉粥样硬化、糖尿病、高低密度脂蛋白胆固醇血症等。 |
| 关键词: 缺血性肾病 中老年人群 相关因素 |
| DOI：10.3969/j.issn.1674-3806.2012.03.02 |
| 分类号:R 586 |
| 基金项目:广西自然科学基金资助项目(编号:桂科青0728039) |
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| Investigation on related factor of ischemie renal disease in middle-aged and elderly population |
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WU Qiu-xia,TANG Sheng,ZENG Chun,et al.
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Department of Nephrology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021,China
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| Abstract: |
| ［Abstract］ Objective To investigate the related factor of ischemie renal disease in middle and elderly population, to provide the possibility for early diagnosis and detection.Methods The research object included 3 000 employees and retirees (aged from 40～85 years) from the Physical Examination Center of our hospital from Jan to Dec in 2007.Their related data were colleted by using questionnaire and surveying medical examination information.(1)Investigated the awareness rate of the diseases, and analyzed incidence, constituent ratio on causation of disease, clinical characteristics and current therapy among them.(2)Analyzed the predicted-independent risk factors in the progression of ischemic nephropathy.Results (1)The awareness rate of ischemie renal disease was low: patient 3.29%，crowd 0.70%.(2)With the development of age, prevalence rate (5.07%) increased obviously, and the differences in prevalence rate between male and female were not statistically significant.(3)Clinical characteristics:hypertension（83.56%）, renal hypofunction （63.16%）; main complication: heart disease（63.81%）,cerebrovascular disease（27.63%）, carotid atherosclerosis（55.92%）,diabetes（29.60%）,lipid dysbolism（53.29%）.Conclusion The awareness rate of ischemie renal disease is low; with the development of age, prevalence rate increased obviously; the independent risk factors include: smoking, advanced age, severity of coronary artery disease, systolic hypertension, cerebrovascular disease, carotid atherosclerosis, diabetes, hyper-low density lipoprotein cholesterolemia. |
| Key words: Ischemie renal disease Middle-aged and elderlly population Related factor |
