Situation analysis on kidney damage of the 1088 elderly health examination people
10.3760/cma.j.issn.0254-9026.2012.12.027
- VernacularTitle:1088例老年健康体检者肾脏损害情况分析
- Author:
Shujun CHEN
;
Haiping CHEN
;
Lin LI
;
Zhaoxing WANG
;
Qing MA
- Publication Type:Journal Article
- Keywords:
Renal insufficiency,chronic;
Health surveys
- From:
Chinese Journal of Geriatrics
2012;(12):1124-1126
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the kidney damage situation of the elderly health examination people,and identify its characteristic.Methods A cross-sectional study was held which enrolled 1088 elderly health examination people.Urine routine,random urine albumin/creatinine ratio (ACR),serum creatinine,urea nitrogen were detected by biochemical analyzer,and estimated glomerular filtration rate (GFR) with CKD-EPI formula.Kidney structure change was examined by Color doppler ultrasound detector.Results The prevalence of hypertension,hyperlipemia,diabetes mellitus was 61.5%,62.1%,11.6%,respectively.The abnormal detection rate of urine routine was 19.0%,including 2.6% proteinuria,14.1% hematuresis and 5.4% leucocyturia.The abnormal detection rate in the people with was higher than those without (P<0.01).However,the albuminuria detection rate with random urine ACR was 25.1%,obviously higher than that of urine routine (P<0.01).The ultrasound results showed that 6.8% of the total were examined with elderly characteristic kidney change,the proportion of renal cyst was the highest,accounted for 21.8%.70.7% of all people were in the level of eGFR more than 60 ml· min-1 · 1.73 m-2.The level of eGFR<60 ml· min-1 · 1.73m-2 in the people with was higher than those without (P<0.01).eGFR was declined with age.When age increased every 10 years,eGFR was decreased 7 ml · min-1 · 1.73 m-2.Conclusions No matter in structure or function,the elderly people's kidney damage has its characteristic.We should make it clear to correctly diagnose and cure elderly kidney disease.