慢性肾脏病患者心脑血管并发症流行病学意义.pdfVIP

老年医学与保健2008年第l4卷第3期Geriatr Health Care，2008，Vo1．14．No．3 慢性肾脏病患者心脑血管并发症流行病学意义 刘思圆 汪年松 【摘要】 目的 探讨慢性肾脏疾病(CKD)患者的心脑血管并发症的发生率，分析心脑血管并发症的危险因素。 方法 采用专用调查表进行问卷调查的方式，研究 CKD患者心脑血管并发症发生率，以及心脑血管并发症与 CKD 之间相互影响的情况。结果 CKD I～V期患者共129例，其中男性57例，女性72例。CKD主要并发疾病依次为 高血压 (69．0％)、贫血 (44．2％)、高血脂 (43．4％)、心脏疾病 (41．9％)、糖尿病 (30．2％)等。肾小球滤过率 (GFR)水平降低和高血压为CKD并发CVD的危险因素；C反应蛋白(CRP)水平、高血脂、年龄增加皆为脑血管 并发症的危险因素。结论 GFR水平降低、高血压、CRP水平升高、高血脂、年龄增加为CKD心脑血管并发症的 主要危险因素。早发现CKD并发症和严重程度，重视各种危险因素对CVD和CKD的影响有重要意义。 【关键词】慢性肾脏疾病；心脑血管并发症；危险因素 【中图分类号】R542．5【文献标识码】A 【文章编号】1008—8296(2008)一02—0154—03 The epidemiologic significance ofcerebrocardiovascular syndromes in patients with chronic kidney disease L1USi-yuan， WANG Nian-song Department ofNephrology,affiliated Sixth Peoples Hospital,Shanghai Jiaotong University，Shanghai 200233，China 【Abstract】objective To investigate the occurrence rate of cerebrocardiovascular syndromes in patients with chronic kidney disease (CKD)and analyze risk factors of cerebrocardiovascular syndromes．Methods Using a specific questionnaire form，the occurrence rate of cerebrocardiovascular syndromes， and the interaction between cerebrocardiovascular syndromes and CKD were analyzed．Results Of 129 CKD patients from stage I-V，57 were male and 72 were female．The main syndromes of CKD were hypertension(69．0％)，anemia(44．2％)，hyperlipidemia (43．4％)，heart disease(41．9％)and diabetes mellitus (30．2％)．Hypertension and the degression of GFR level were the risk factors of CKD patients with CVD syndrome，while the growth of CRP level，hyperlipidemia and the growth of age were all risk factors of cerebral syndrome．Conclusions The degression of GFR level， hypertension，the growth of CRP level，hyperlipemia and the growth of age are main risk factors of cerebrocardiovascular syndromes in CKD patients．