【摘要】：目的了解慢性腎臟病(CKD)患者合并高血壓情況,并探討其影響因素。方法選取2013年3—7月,在新疆醫(yī)科大學(xué)第一附屬醫(yī)院腎病科接受住院治療的CKD患者228例。根據(jù)合并高血壓情況,將其分為非高血壓組(n=92)和高血壓組(n=136)。比較并分析兩組一般資料和各項(xiàng)實(shí)驗(yàn)室檢測(cè)指標(biāo),探討CKD患者合并高血壓的影響因素。結(jié)果 (1)228例CKD患者的高血壓合并率為59.6%(136/228)。高血壓組和非高血壓組病因、合并癥中的糖尿病和心血管疾病、病情分期、平均年齡、收縮壓、舒張壓、尿酸及腎小球?yàn)V過(guò)率(GFR)比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);而性別、民族、文化程度、吸煙史、合并癥中的呼吸系統(tǒng)疾病、平均病程、24 h尿蛋白定量、三酰甘油、膽固醇及BMI比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。(2)136例合并高血壓患者的高血壓治療率為96.3%(131/136),血壓控制率為45.6%(62/136)。不同病情分期患者的血壓控制率比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。(3)Logistic回歸分析顯示,年齡、24 h尿蛋白定量及GFR對(duì)CKD患者合并高血壓的影響有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 CKD患者的高血壓合并率較高,治療率較高,但控制率較差;年齡、24 h尿蛋白定量及GFR是其影響因素。
[Abstract]:Objective to investigate the prevalence of hypertension in patients with chronic kidney disease (CKD) and explore its influencing factors. Methods 228 CKD patients who were hospitalized in the Renal Department of the first affiliated Hospital of Xinjiang Medical University from March to July 2013 were selected. According to the condition of complicated hypertension, it was divided into two groups: non-hypertension group (n-92) and hypertension group (n-136). To compare and analyze the two groups of general data and various laboratory indicators to explore the influencing factors of hypertension in patients with CKD. Results (1) the incidence of hypertension in 228 patients with CKD was 59.6% (136 / 228). There were significant differences in etiology, diabetes and cardiovascular disease, stage of disease, mean age, systolic blood pressure, diastolic blood pressure, uric acid and glomerular filtration rate (GFR) between hypertension group and non-hypertension group (P0.05). Education, smoking history, respiratory diseases in complications, average duration of 24 h urinary protein quantification, triacylglycerol, cholesterol and BMI, There was no significant difference (P0.05). (2). The hypertension treatment rate was 96.3% (131 / 136), and the blood pressure control rate was 45.6% (62 / 136). There was no significant difference in blood pressure control rate between patients with different stages of the disease (P0.05). (3) Logistic regression analysis showed that the age of 24 hours urine protein quantitative and GFR on the CKD patients with hypertension had statistical significance (P0.05). Conclusion the incidence of hypertension in patients with CKD is higher, the rate of treatment is higher, but the control rate is poor, the quantitative analysis of urinary protein at 24 h and GFR are the influencing factors.
【作者單位】： 新疆醫(yī)科大學(xué)第一附屬醫(yī)院腎病科;
【基金】：新疆維吾爾自治區(qū)心血管病研究重點(diǎn)實(shí)驗(yàn)室開(kāi)放課題項(xiàng)目(XJDX0903-2011-06)
【分類號(hào)】：R692;R544.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 崔燕;王慧敏;魏瑋;;老年慢性腎臟病的常見(jiàn)病因及首發(fā)癥狀分析[J];中國(guó)全科醫(yī)學(xué);2012年11期

2 張慧龍;張東亮;鄭立仁;劉文虎;;維持性血液透析患者病因變化的分析[J];臨床和實(shí)驗(yàn)醫(yī)學(xué)雜志;2012年01期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陸忠明;戴小華;;高血壓早期腎損害中醫(yī)研究進(jìn)展[J];安徽中醫(yī)學(xué)院學(xué)報(bào);2013年01期

2 楊沿浪;鄒和群;汪裕偉;高潮清;陶青松;金岳龍;;兩種腎小球?yàn)V過(guò)率評(píng)價(jià)公式評(píng)價(jià)健康體檢人群慢性腎臟病患病率的對(duì)比研究[J];南方醫(yī)科大學(xué)學(xué)報(bào);2013年09期

3 趙凱;吳靜云;王霄英;張保翠;朱天照;;冠狀動(dòng)脈CTA檢查前患者腎功能情況調(diào)查[J];放射學(xué)實(shí)踐;2014年03期

4 趙森;秦明照;;慢性腎臟病合并血脂異常的他汀類藥物干預(yù)[J];中國(guó)醫(yī)藥導(dǎo)刊;2014年03期

5 王晶;趙魁彥;王鈺;龔`u紅;宋民喜;;前列地爾注射液聯(lián)合燈盞細(xì)辛注射液治療早期糖尿病腎病的臨床觀察[J];當(dāng)代醫(yī)學(xué);2014年10期

6 李纓;王蕾;湯詠梅;賈慧;金惠良;葉娟;顧明穎;徐榮;顧韌紅;邵月琴;;上海市嘉定區(qū)慢性腎臟病的流行病學(xué)研究[J];分子影像學(xué)雜志;2014年02期

7 黃永輝;;腎衰方聯(lián)合中藥貼敷治療慢性腎臟病2～4期90例[J];長(zhǎng)春中醫(yī)藥大學(xué)學(xué)報(bào);2014年05期

8 黃劍華;覃秀先;龍鳳川;韓國(guó)橋;韋聯(lián)章;;廣西鳳山縣壯族農(nóng)村慢性腎臟病的橫斷面流行病學(xué)調(diào)查[J];廣西醫(yī)科大學(xué)學(xué)報(bào);2014年03期

9 黎艷培;丁文娟;潘玲;廖蘊(yùn)華;;慢性腎臟病骨代謝紊亂的相關(guān)分析[J];重慶醫(yī)學(xué);2014年23期

10 羅華麗;蔣先洪;文津;馬艷萍;夏慶紅;黎洋;胡煜琳;孫Rσ，

本文編號(hào)：2240612