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慢性病在中国的流行:一个横截面调查
Luxia Zhang1, Fang Wang, Li Wang
1Peking University Institute of Nephrology, Division of Nephrology, Peking University First Hospital, Beijing, China.
Lancet (London, England)
|March 6, 2012
概括
慢性病影响了超过10%的中国成年人,总数接近1200万人. 这项全国性调查强调,迫切需要在经济发展中的农村地区和特定地区采取有针对性的干预措施.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 的流行率在全球范围内很高,特别是在发展中国家.
- 中国缺乏综合的国家调查评估CKD使用估计的淋巴球过率 (eGFR) 和albuminuria.
- 本研究探讨了考虑到中国的经济多样性,需要进行全国性的CKD流行率评估.
研究的目的:
- 确定中国慢性病 (CKD) 的全国患病率.
- 通过估计的淋巴膜过率 (eGFR) 和专尿.确定与CKD相关的因素.
- 估计中国的CKD患者总数.
主要方法:
- 一项针对47204名中国成年人进行的全国横截面调查.
- 根據eGFR<60mL/min/1.73m2或存在白色素尿的定義的CKD.
- 通过问卷,物理测量和实验室测试 (血清肌素,尿液白蛋白/肌素) 收集的数据.
主要成果:
- 经调整后的CKD患病率为10.8%,相当于估计有1.195亿成年人.
- 低EGFR的患病率为1.7%,而白色素尿的患病率为9.4%.
- 在北部和西南部地区观察到更高的CKD流行率;经济发展与农村地区的白尿有关. 相关因素包括年龄,高血压,糖尿病和心血管疾病史.
结论:
- 慢性瘤在中国是一个重大的公共卫生挑战.
- 针对性干预对于经济发展中农村地区和特定地理区域的居民至关重要.
- 这些发现强调了全国范围内全面的CKD查和管理策略的重要性.
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