【摘要】 [目的]了解威海市终末期肾病的流行特征,为制订防控措施,降低疾病的经济负担提供依据。[方法]采用回顾性调查方法对威海市2007～2009年终末期肾病发病及死亡状况进行调查分析。[结果]2007～2009年发病率分别为12.43/10万、11.81/10万、13.44/10万,各年间发病率的差异无统计学意义(P>0.05)。时点患病率为33.01/10万,报告死亡率分别为2.99/10万、3.33/10万、5.89/10万,调整死亡率分别为3.72/10万、4.27/10万、6.91/10万,呈逐年增高的趋势,差异有统计学意义(P<0.01)。患病以45～69岁所占的病例最多,占54.10%;原发疾病以慢性肾小球肾炎所占的比例最高,占31.98%;其次为糖尿病肾病,约占20.54%;高血压肾病处于第3位。[结论]威海市终末期肾病患病处于中等水平,慢性肾小球肾炎、糖尿病肾病、高血压肾病为主要的发病因素。更多还原

【Abstract】 [Objective]To understand the epidemiological characteristics of end-stage renal disease in Weihai city,and provide basis for the development of prevention and control measures to reduce the economic burden of disease.[Methods]Investigation and analysis were made on the incidence and mortality of the end stage renal disease in Weihai city during 2007-2009 using the retrospective investigation method.[Results]The annual incidence rate of the end stage renal disease was 12.43/105,11.81/105 13.44/105 during 2007-2009 respectively(P>0.05) ,the reported mortality rates were 2.99/105,3.33/105,5.89/105 respectively,The adjusted mortality rate was 3.72/105,4.27/105,6.91/105(P<0.01) .The point prevalence rate of 33.01/105,the cases at 45-69 years old were the most,at 54.10%.The highest proportion of primary disease was chronic glomerulonephritis,accounting for 31.98%,followed by diabetic nephropathy,accounting for 20.54%,the third rank was hypertensive nephropathy.[Conclusion]The incidence rate of the end stage renal disease in Weihai city is at the middle level,the major risk factors of ESRD are chronic glomerulonephritis,diabetic nephropathy,and hypertensive nephropathy.更多还原