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[目的]了解城市老年人群肾脏损伤的发生率及相关危险因素。[方法]采用现况调查对某院老年科60岁以上的住院老干部人群进行肾脏损伤指标检测及相关危险因素的分析。[结果]研究人群白蛋白尿的发生率为43.8%,肾功能下降的发生率为13.5%,该人群的CKD发生率为47.7%。多因素Logistic回归分析显示,年龄、性别、血压、糖尿病及慢性阻塞性肺病是白蛋白尿的危险因素(P﹤0.05);性别、血压、糖尿病及慢性阻塞性肺病是慢性肾脏病的危险因素(P﹤0.05)。[结论]老年、患病的高危人群CKD发生率高,漏诊率高。
[Objective] To investigate the incidence of kidney damage and related risk factors in urban elderly population. [Methods] The status quo survey of elderly people over the age of 60 hospital elderly cadres in a hospital kidney injury index detection and analysis of risk factors. [Results] The incidence of albuminuria in study population was 43.8%, the incidence of renal function decline was 13.5%, and the incidence of CKD in this population was 47.7%. Logistic regression analysis showed that age, sex, blood pressure, diabetes and chronic obstructive pulmonary disease were the risk factors of albuminuria (P <0.05). Sex, blood pressure, diabetes mellitus and chronic obstructive pulmonary disease were the risk factors of chronic kidney disease P <0.05). [Conclusion] The incidence of CKD is high and the rate of misdiagnosis is high in elderly and diseased high risk population.