目的 初步了解甘肃省贫困地区儿童尿液筛查的基本情况和主要特点,为贫困地区儿童慢性肾脏病管理提供基础数据.方法 选取甘肃省兰州市国家级贫困县榆中县所辖3所小学一年级的6~8岁儿童1659例、6所初中一年级的12~14岁儿童2003例,采集晨尿,采用尿试纸法进行尿常规检测,对所有尿常规异常儿童均进行重复尿检.记录并比较不同年龄、性别、户籍儿童尿隐血、蛋白尿、尿隐血合并蛋白尿的发生情况.结果 6~8岁、12~14岁儿童尿常规异常的阳性率分别为6.81%、19.22%,12~14岁儿童尿隐血、蛋白尿、尿隐血合并蛋白尿的发生率均高于6~8岁儿童(P均<0.05).6~8岁儿童中,女性尿隐血的阳性率高于男性,农村户籍儿童尿隐血、蛋白尿、尿隐血合并蛋白尿的发生率均高于城镇户籍儿童(P均<0.05).12~14岁儿童中,女性尿隐血的发生率高于男性,农村户籍儿童尿隐血、蛋白尿的发生率均高于城镇户籍儿童(P均<0.05).结论 甘肃省贫困地区12~14岁儿童尿隐血、蛋白尿、尿隐血合并蛋白尿的发生率均高于6~8岁儿童,女性、农村户籍儿童尿隐血的发生率均分别高于男性及城镇户籍儿童.%Objective To understand the basic situation and main features of urine screening of children in the pover-ty areas of Gansu province,in order to provide the basic data for the management of childhood chronic kidney disease in poverty areas. Methods A total of 1659 children aged 6-8 years in the first grade of 3 primary schools and a total of 2003 children aged 12-14 years in the first grade of 6 junior high schools were collected in Yuzhong county,Lanzhou city, Gansu province. The morning urine of children was collected to do the urine conventional detection by using urine test strips. However,the urine detection was repeated for children with the urine abnormalities. We recorded the occurrence of the urinary occult blood,proteinuria,urinary occult blood combined with proteinuria,and compared them between children of different ages,genders,and families. Results Results shown that the positive rates of urinary abnormalities were 6. 81% and 19. 22 % in children aged 6-8 years and 12-14 years,respectively. Meanwhile,the incidence of urinary occult blood,proteinuria,and urinary occult blood combined with proteinuria in children aged 12-14 years was higher than that in children aged 6-8 years (P < 0. 05). The positive rate of urinary occult blood of girls was higher than that of boys,and the prevalence of the urinary occult blood,proteinuria,and urine occult blood combined with proteinuria of rural children was more than that of urban children in children aged 6-8 years (all P < 0. 05). The prevalence of urinary occult blood of girls was higher than that of boys,and the prevalence of the urinary occult blood and proteinuria of rural children was higher than that of urban children aged 12-14 years (all P < 0. 05). Conclusions The prevalence of urinary occult blood,proteinuri-a,and urinary occult blood combined with proteinuria in children aged 12-14 years is higher than in children aged 6-8 years,and the prevalence of the urinary occult blood in girls and rural children is more than that in boys and urban chil-dren.
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